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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN of CUSTODY <br />www.fgUnc.com <br />Field Copy (3 of �) <br />Corporate Offices & Laboratory <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling [$[formation <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 Joaquip 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 Quality Division <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />ro <br />g <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />(n <br />a <br />Contact Person: Rodney Estrada <br />Project Name:" <br />C7 <br />rWi, <br />rn <br />ca <br />Purchase Order Number: <br />¢ <br />uw <br />Quote Number: ST 20160309-01 <br />a <br />z <br />> <br />F <br />O <br />o <br />00 <br />A <br />Sampler(s) <br />'�. <br />o <br />V) <br />ON <br />FW - <br />Sampling Fee: Pickup Fee: <br />5 <br />c <br />„ <br />o �, <br />h <br />x <br />a <br />Compositor Setup Date: 1 / Time: / <br />-- <br />a <br />E <br />Q <br />E <br />z <br />O <br />p <br />corn <br />= z <br />c <br />O <br />5z <br />w <br />A <br />E <br />F <br />Lab Number: STK 3-17919 <br />W <br />o <br />T <br />0 <br />a <br />o N <br />a <br />0 <br />; <br />fl, <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />� <br />E <br />a <br />PO <br />PCO <br />U <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Dale: Time: Relinquished Daae: I imc: Relinquished Dale: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: lime: <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 />