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CHAIl`I OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 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 / Ag 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 />3442 Empresa Driv Suite <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 />35731:02/0612017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental.Health Dep <br />Water Quality Division <br />Ami: Rodney Estrada <br />j <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />t.7 <br />cu <br />x <br />Contact Person: Rodney Estrada <br />Project Name: <br />(a,�Ie,Qd <br />H <br />m49 <br />jai <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />A <br />w <br />' <br />a <br />a <br />v <br />Sampler(s) y� �q <br />M IUD' W IS <br />U <br />� <br />O <br />s.ae <br />Sampling Fee: Pickup Fee: <br />e <br />5 <br />a`4 <br />' a <br />O <br />o, <br />Compositor Setup Date: _/_/_ Time: _!_ <br />0 <br />$ <br />u o <br />o <br />o <br />z <br />) <br />p <br />k- <br />rx <br />W <br />A <br />d <br />g <br />a o <br />Lab Number: STK p,7 1_35 Y43 3-17919 <br />amp <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />� <br />F. <br />a <br />r <br />as O <br />w v <br />0—Tin <br />et Blaa* <br />A.S• <br />I <br />(,DELL <br />G <br />DW <br />. <br />Remarks:Relinquished <br />11 10+ � Ili TBA <br />Date: Time: <br />2� bk�� <br />fished Date: Time: <br />���/�� 170Z <br />Relinquished Date: Time: <br />Lj� 511 n4 u <br />o f/ t- war r 8vt� g <br />� <br />R ived By: ate: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />/ <br />-AT <br />I <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 / Ag 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 />3442 Empresa Driv Suite <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 />