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�I L11111Li1111i_llll__li_11_ Client: San Joaquin Count.N LHD Address: San Joaquin Co. Environmental Health Dep CHAIN OF CUSTODY Special www.fgUnc.com Field Copy (3 of 3) 30;(12110.201- _L TtLJi DI -'A KII'IIt,)\ .. _ I',, u:.: Water Quaiity Division 'Office & Laboratory 853 Corporation Street 2500 Stagecoach Road Santa Paula, CA 93060 a Phone: (805) 392-2000 Phone: (209) 942-0182 Atm: Rodney Estrada Fax: (209) 942-0423 j 3 a 1868 East Hazelton Ave. Stockton, CA 95205 3 0, Phone: (209)468-0331 Fax: Contact Person: Rodney -Estrada d Project Name: c7 a V ^� V) x Purchase Order Number: � j w > 3 6 Quote Number: ST 20160309-01 °: o O o 00 ^Ly Sampler(s) i . U * .2 Cn M � Sampling Fee: Pickup Fee:_ °" � o ° � Compositor Setup Date: _/_/ Time: _/_ a o h z Oa p- o � = z U M O Z x Lab Number: STK 3-17919 0 v o T ii 'vE= c oLocation Description Date Time Num tiantpled Sampled pO U'uC ev DW 1 1.1,1 1 Remarks: Received By: Corporate Offices & Laboratory 'Office & Laboratory 853 Corporation Street 2500 Stagecoach Road Santa Paula, CA 93060 Stockton, CA 95215 Phone: (805) 392-2000 Phone: (209) 942-0182 Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Date: Time: y r Date: Time: A x a LL By: Office & Laboratory 563 E. Lindo Chico, CA 95926 Phone: (530) 343-5818 Fax: (530) 343-3807 Date: Time: Date: Time: ted Date: Dime: By: Date: Time: Office & Laboratory 3442 Empresa Drive, Suite D San Luis Obispo, CA 93401 Phone: (805) 783-2940 Fax: (805) 783-2912 Office & Laboratory 9415 W. Goshen Avenue Visalia, CA 93291 Phone: (559) 734-9473 Fax: (559) 734-8435