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ML <br />EPVIWNMENTAL — AGRICULTURAL <br />Analytical Chemists <br />Special CHAiri OF CUSTODY <br />p www.fgUnc.com <br />Customer Copy (2 of 3) <br />IIIIIIIIIIIIIIIIIIIIIIII <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />a <br />Address: San Joaquin Co. Environmentil Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Phone: (209)468-0331 Fax:ba <br />Contact Person: Rodney Estrada I` <br />Project Name: k%M if <br />.11t_(� <br />Order Number. <br />Purchase <br />Quote Number: ST 20160309-01 <br />o <br />o <br />z <br />.A <br />a°o <br />Sampler(s) <br />* <br />?? <br />v� <br />V <br />cn <br />Sampling Fee: Pickup Fee: <br />E <br />a <br />°" <br />o <br />=� <br />a cn <br />x E- <br />Compositor Setup Date: —/_/ Time: —/_ <br />— <br />E <br />ro <br />0 <br />cc <br />z <br />a. <br />�s <br />o <br />n <br />a <br />ii <br />– z <br />o <br />U <br />„ <br />c z <br />x <br />ti <br />x <br />E <br />x <br />Lab Number: STK 3-17919 <br />f0Sam <br />Samp <br />Date <br />Time <br />Location Description <br />Sampled <br />led <br />° <br />co <br />° <br />7 <br />� <br />hNum <br />l <br />1. <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: lime: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Darr: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (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 />