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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHMN OF CUSTODY <br />Special www.fgUne.eom <br />Y Customer Copy (2 of 3) <br />1111111111111111111111111111111 loll 11111 HIM 1 <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis 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 />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water QualityDivision <br />as <br />Attn: Rodney Estrada <br />Y <br />1868 East Hazelton Ave. <br />Stockton, CA 95205: <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />x <br />Contact Person: Rodney Estrada <br />U <br />Project Name: r <br />t7 <br />0 <br />dI <br />Purchase Order Number: <br />w <br />a <br />Quote Number: ST 20160309-01oo <br />¢ <br />a <br />Z <br />> <br />p <br />A <br />Sampler(s)vWi <br />U <br />r <br />`� <br />a <br />* <br />.n <br />o <br />Oa <br />d0 <br />° <br />x <br />W <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: / / Time: / <br />--- -- <br />�, <br />E <br />z <br />pa <br />o� <br />z <br />O <br />O <br />qz <br />z <br />@ <br />Q <br />E <br />F <br />Lab Number: STK 3-17919 <br />o <br />0 <br />w <br />o <br />a <br />ii <br />= <br />o <br />T <br />Cd <br />O <br />.. <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />F. <br />a <br />M <br />ca O <br />U -• <br />C7 N <br />tJ. <br />v- <br />w <br />1 <br />G <br />DW <br />Relinquished Date: Time: Relinquished Date: Time: Relinquished Dai r: 1 inre: <br />Remarks: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: I>atc: Dime: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis 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 />