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CHAm OF CUSTODY <br />Special ` o www.fgUnc.com <br />Customer Copy (2 of 3) <br />.r <br />•357'30:02/06/2017 <br />TEST DESCRIPTION > See Reverse side for Container. Preservative and Sampling information <br />ENVIRONMENTAL <br />AGRICULTURAL <br />Analytical Chemists <br />CHAm OF CUSTODY <br />Special ` o www.fgUnc.com <br />Customer Copy (2 of 3) <br />.r <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 />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 />•357'30:02/06/2017 <br />TEST DESCRIPTION > See Reverse side for Container. Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />I <br />y, <br />�` <br />Water Quality Division <br />Attn: Rodney Estrada <br />394 <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />h <br />x <br />Contact Person: Rodney Estrada , <br />Project Name: 2 " j r { ?� <br />CD <br />t' <br />owl <br />rn <br />Purchase Order Number: 13� f c : `�., (�• S �t <br />U <br />w <br />Quote Number: ST 20160309-01 <br />0 <br />E <br />w <br />Z <br />o <br />x <br />A <br />Sampler(s) <br />6L <br />0 <br />rA <br />Sampling Fee: Pickup Fee: <br />a <br />a = <br />O <br />aN <br />xF <br />a� <br />Setup Date: Time: <br />¢ <br />O <br />z <br />.r7 <br />O <br />(Yi • U <br />c <br />0 <br />o zx <br />M zy <br />d <br />Axa <br />HCompositor <br />xa <br />Lab Number:STK 3-17919 <br />g <br />ii� <br />Z .=Location <br />a occSamp <br />Date <br />Time <br />Num <br />Description <br />Sampled <br />Sampled <br />F <br />a <br />CL1 <br />M O <br />o° <br />U <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Tine: <br />r <br />Relinquished Date: Time: <br />Relinquished Dale: Time: <br />_ <br />Received By: _ I?ate: Time: <br />Received By: Date: Time: <br />Received By: Date: <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 />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 />