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ENVIRONMENTAL - - AGRICULTURAL <br />Analytical Chemists 7 <br />CHAiri OF CUSTODY <br />Special www.jgUnc.com <br />Laboratory Copy (1 of 3) <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIII <br />35730:02/06/201; <br />TESD DESCRIPTION - See Reverse side for Container. Preservative and Sampling <br />information <br />lient: San Joaquin County ERD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />u <br />Stockton, CA 95205 <br />3 <br />d <br />Phone: (209)468-0331 Fax: <br />w <br />3 <br />h <br />Contact Person: Rodney Estrada <br />R <br />A <br />_ <br />Project Name: �� Q �. P�V-� Q✓��lS� �.�. <br />w <br />B <br />�" <br />Purchase Order Number: <br />Quote Number: ST 20160309-01ITI <br />o <br />z <br />6 <br />T <br />N <br />o <br />°O <br />F <br />A <br />Sampler(s) <br />o <br />p <br />$ aa.0. <br />d <br />Sampling Fee: Pickup Fee: <br />5 <br />° <br />C <br />a <br />504 <br />Compositor Setup Date: _/_/_ Time: _/_ <br />E <br />0 <br />Q <br />cd <br />v) <br />z <br />a <br />p <br />0. <br />i'u <br />cc <br />= <br />W <br />7 <br />° O <br />-. <br />v z <br />z4. <br />E <br />Lab Number: STK 3-17919 <br />` 16693 <br />0 <br />0 <br />E- <br />x 4 <br />0 <br />t� II <br />;amp <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />" <br />a <br />' <br />ro <br />= o <br />o N <br />o <br />°' ^ <br />°' c' <br />- <br />=' <br />G <br />DW <br />Q <br />temarks: <br />elinqu- ed Date: Time: <br />uished ate: Time: <br />Relinquished Date: Time: <br />j / <br />f <br />R By: te: Time: <br />Received By: j kDte, Time: <br />Received By: Date: <br />ime: <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 />I 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 />Office & Laboratory <br />3442 Empresa Drive, Suite D <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 />