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ML <br />ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />CHAiri OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 1Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Containei, <br />Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Enviromnental Health Dep <br />Water Quality Division <br />.7 <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />0 <br />Phone: (209)468-0331 Fax: <br />C7 <br />ua <br />Contact Person: Rodney Estradailk <br />Q <br />Project Name: l_' _, +, .: r <br />vt`ti <br />rn <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />N <br />�; <br />z <br />; <br />5 <br />Sampler(s)5 <br />? <br />* <br />= <br />O <br />o <br />O <br />a <br />Sampling Fee: Pickup Fee: <br />5 <br />c. <br />a <br />G <br />; <br />o <br />Compositor Setup Date: _/_/_ Time: _/_ <br />E <br />v� <br />0 <br />a <br />E <br />z <br />ii <br />O <br />aG <br />ci <br />o <br />Q <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />Samp <br />Location Description <br />Date <br />Time <br />6 <br />o <br />'� <br />Num <br />Sampled <br />Sampled <br />u <br />H <br />a° <br />m <br />Mo <br />w vo <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />1 <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: lime: <br />Relinquished Date: Time: <br />Relinquished Date: I ime: <br />Recei Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Dime: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />Santa Paula, CA 93060 Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 1Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />