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ENyiRoNMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAiri OF CUSTODY <br />Special www.fgUnc.com <br />Field Copy (3 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 />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 />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for (ontainer, <br />Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />a <br />'' <br />Attn: Rodney Estrada <br />3 <br />a <br />1868 East Hazelton Ave. <br />ca <br />U <br />Stockton, CA 95205 <br />. <br />0. <br />Phone: (209)468-0331 Fax: <br />w <br />3 <br />v <br />Contact Person: Rodney Estrada <br />A <br />Q <br />U <br />Project Name: 1 t, <br />vWi <br />x <br />3 <br />rn <br />td <br />Purchase Order Number: <br />a <br />_ <br />-• <br />Quote Number: ST 20160309-01 <br />a <br />W <br />a <br />z <br />N <br />� <br />000 <br />Q <br />Sampler(s) <br />x <br />U <br />.2 <br />'' <br />Cn <br />O <br />x <br />1. <br />O <br />F <br />o <br />°' <br />p <br />ga <br />d0 <br />o <br />W <br />Sampling Fee: Pickup Fee: <br />o <br />Compositor Setup Date: _/ Time: _/_ <br />a <br />(E <br />�, <br />z <br />O <br />81. <br />a� <br />a <br />ox <br />�� <br />o Z <br />�o z <br />=z <br />u. <br />A <br />x <br />E - <br />x <br />Lab Number: STK 3-17919 <br />0 <br />d <br />wU <br />o <br />ii <br />v <br />F <br />a: <br />a <br />•• <br />-6" <br />a <br />F II <br />�' <br />n <br />Samp <br />Date <br />Time <br />Description <br />Sampled <br />Sampled <br />PQ <br />5Location <br />M0 <br />U - <br />0� <br />rA <br />00• <br />_: <br />0 <br />LL <br />LL. <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />e <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <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 />