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S ecial CHAIN OF CUSTODY <br />P www.fgUnc.com <br />Customer Copy (2 of 3) <br />Corporate Offices &Laboratory Office &Laboratory Office &Laboratory Office & <br />Laboratory <br />Office &Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />i <br />35731:02/06/2017 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />a <br />Atm: Rodney Estrada <br />n <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />=d <br />c. <br />Phone: (209)468-0331 Fax: <br />� <br />w <br />3 <br />Contact Person: Rodney Estrada <br />Q <br />2 <br />F" <br />Project Name: fJ ra t,qE <br />t <br />Purchase Order Number: Ql p <br />,, s3 <br />U <br />Quote Number: ST 20160309-01 <br />z <br />�D <br />Sampler(s) <br />o <br />G�i—�.ASlij R �{n, <br />U <br />* <br />`� <br />Sampling Fee: Pickup Fee: <br />" <br />; <br />o <br />a. <br />Compositor Setup Date: Time: <br />E <br />ow <br />z <br />O <br />Q <br />cow <br />Lab Number: STK 347919 <br />0 <br />a <br />0 <br />co <br />p <br />W <br />A <br />C�) <br />Samp <br />Date <br />Time <br />E <br />p <br />'� <br />Num <br />Location Description <br />Sampled <br />Sampled <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />1 <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />q1 <br />Laboratory <br />Office &Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />