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F G f <br />L.NVIRONMENTAL `=__ ACiRICUI: URAL <br />Aunh•Iir.nl Clu,nlititti <br />Special <br />CHM OF CUSTODY <br />www.fgUnc.com <br />Laboratory Ctpy (1 of 3) <br />141,1111 III IIIIII <br />.3-;730:0=.06,1017 <br />T—, <br />I I.JI Ill_.,\l kill IU'. id, ioi l -IIIjil i. I'I.>:I .II I� IIJ 1.IIlll lill� Illul n6Un•u <br />tient:Sa°� Joaquin Count3 EHD <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luls 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 />ldres:: Satfloaquin Co. Environmental Health Dep <br />Wat r Quality Division <br />Atte; Rodney Estrada <br />i <br />1848 East Hazelton Ave. <br />H <br />i <br />Stockton, CA 95205 <br />3 <br />a <br />lone: (209)468-0331 Fax: <br />� <br />C7 <br />w <br />- <br />3rOn <br />u <br />a <br />ontact Person: Rodney Estrada <br />� � <br />'oject Name: 21�/ St.(J' �(/�p►t 1L'�'"' <br />C7 <br />u <br />/ <br />vwi <br />v°� <br />trchase Order Number: <br />U <br />m <br />y <br />x <br />w <br />uote Number: ST 20160309-01 <br />a <br />wrn <br />Q <br />`��' <br />tog <br />O <br />ampler(s)III <br />eio— /W/j% <br />to <br />O <br />ii <br />ampling Fee: Pickup Fee: <br />S <br />ompositor Setup Date: —1-1— Time: _1_ <br />yr <br />0 <br />.5 <br />�, <br />E <br />Oj <br />Z <br />p <br />u4 <br />Crq <br />O <br />.= Z <br />o:. <br />@ <br />o <br />NC> <br />5x <br />E <br />z <br />" <br />'?Imp <br />E <br />ab Number: STK 3-17919 <br />Location Description <br />Dat <br />Time <br />Turn <br />Sampled <br />Sampled <br />0 <br />G <br />DW <br />1 <br />1,1/20(0 <br />:marks: <br />Relin ished Date: Time: <br />e t wished Time: <br />Relinquished Date: Time: <br />late: <br />�- <br />Ia2r! 1 l - <br />Re By: Date: Time: <br />/=z <br />Received By: Date: Time: <br />lave -7 <br />Received By: Date: Time: <br />i3/0 <br />e �-/ <br />" 3IC41 wr t l lS <br />Cornorate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Office & Laboratory <br />563 E. Lando <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luls 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 />