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rM <br />ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHMN OF CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of 3) <br />1111111111111111111 IN <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Rever : 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 />Address: San Joaquin Co. Environmental Health Dep <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 />Water Quality Division <br />a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Id <br />0 <br />Phone: (209)468-0331 Fax: <br />w <br />�_ <br />Contact Person: Rodney Estrada <br />A <br />Project Name: <br />vwi <br />Ln <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />a <br />w <br />x <br />zT <br />Sampler(s) <br />c <br />?? <br />U <br />* <br />rn <br />_ <br />a° <br />ga <br />Sampling Fee: Pickup Fee: <br />.5 <br />c � <br />a, <br />Compositor Setup Date: _/_/ Time: <br />_/ <br />o <br />0 <br />=' <br />r, <br />10) <br />p <br />z <br />a <br />p <br />mi <br />a <br />a <br />o� <br />r <br />U <br />A <br />s o <br />Lab Number: STK 3-17919 <br />o <br />O <br />Samp <br />Location Description <br />Date <br />Time <br />a <br />o <br />'n <br />'� <br />O <br />Num <br />Sampled <br />Sampled <br />H <br />a <br />w <br />w <br />W <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />1 <br />G <br />DW <br />a <br />Remarks: <br />Relinquished Uaie: Time: Relinquished Date: Time: Relinquished Date: I into: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: I inic: <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 />