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ENVIRONMENTAL` ' AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy (3 of 3) <br />IIIIIIIUIIIIIIIVIIIIIIIIIIIIIIIIIIIillillllllllllllillllll <br />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for C nuitner. Preservame and Sampling intormatioc <br />Client: San Joaquin County EHD H <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 />` <br />Address: San Joaquin Co. Environmental 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 />a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />g <br />l <br />Stockton, CA 95205 <br />3 <br />I <br />Phone: (209)468-0331 Fax: <br />w <br />(n <br />oe <br />Contact Person: Rodney Estrada <br />Project Name: <br />a <br />'0 <br />Purchase Order Number: <br />3 <br />a <br />— <br />Quote Number: ST 20160309-010 <br />wQ <br />x <br />�n <br />N <br />a <br />E <br />w <br />w <br />i_ <br />z <br />d <br />N <br />;::) <br />°° <br />Q <br />Sampler(s) L 1 / <br />U <br />x„ <br />w <br />p <br />4¢p <br />w <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: _/ /_ Tune: _/_ <br />a <br />0 <br />0 <br />Q <br />0 <br />c <br />z <br />a <br />�s <br />O <br />T <br />az <br />0 <br />0"A <br />o z <br />V a <br />`^ <br />z <br />a <br />bz <br />w <br />Y <br />C1 <br />o <br />n <br />Lab Number: STK 3-17919 <br />Samp <br />Location Description <br />DateTime <br />a <br />"- <br />o <br />0"nNum <br />o <br />x <br />Sampled <br />Sampled <br />O <br />7C14 <br />u a <br />a <br />— <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: l im <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: I ince: <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 />