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Special CHAIN OF CUSTODY <br />P www.fgUnc. m <br />A I I � I 1.� . I i ci I I I 1 3 i �'! �- i Laboratory Copy (1 of 3) <br />11 In 01110 1111111 M 1111C <br />Office & Laboratory <br />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 1 Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Address: San Joaquin Co. Environmental Hea Dep <br />t° <br />Water Quality Division <br />Atm: Rodney Estrada <br />1868 East Hazelton Ave" <br />95205 <br />Stockton, CA <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />ua <br />y_ <br />Contact Person: Rodney Estrada <br />nn <br />Project Name: i 3 6 3 i "I-�e R 1 "larhm/ <br />A <br />LU <br />m <br />- <br />7 <br />a <br />9 <br />Purchase Order Number: �fl a5 <br />Cv <br />in <br />K <br />to <br />Quote Number: ST 20160309-01 <br />V <br />■ <br />z <br />r <br />T <br />a <br />O <br />n <br />0 <br />Sampler(s) IAF" 01� <br />< <br />QO <br />$ <br />w <br />Sampling Fee: Pickup Fee: <br />e <br />w <br />�, <br />a � <br />o <br />Compositor Setup Date: _/_/_ Time: _/_ <br />4 <br />E <br />in <br />0 <br />& <br />E <br />- <br />o <br />& <br />z <br />2 <br />g <br />O <br />F• <br />0 <br />oG 5 <br />E v) <br />9z <br />'� u <br />c :. <br />y 90 <br />= c <br />O <br />5 z <br />c <br />u <br />la. <br />x <br />a <br />A <br />F <br />v <br />1 <br />Lab Number: STK q' � ✓� ee 3-17919 <br />Vee <br />amp <br />Date <br />Time <br />Num <br />vocation Description <br />p <br />Sampled <br />Sampled <br />H <br />a°, <br />ark <br />' O <br />U = <br />0 r <br />ti <br />1 <br />/ O <br />G <br />DW <br />1 <br />Remarks: <br />Relinqui ed Date: Time: <br />Rel' is ie: Time: <br />Relinquished Date: Time: <br />N <br />n o <br />Rece' By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />LA <br />Coroorate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 1 Ag Fax: (805) 392-2063 <br />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„0 <br />San Luis Obispo, Cpp((g9 <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 />