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CHAIN OF CUSTODY <br /> i , . , Special www.fgUfnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> lk s= <br /> 3;730:02/06/2017 TEST DESCRIPT N - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD "s <br /> Address: San Joaquin Co.Environmental bealth Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada o; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: * a <br /> Contact Person: Rodney Estrada A QJ <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 c, o <br /> Sampler(s) o z 00 °O A <br /> a O <br /> o x <br /> Sampling Fee: Pickup Fee: O .o a O a <br /> a a� a��i� is <br /> Compositor Setup Date:_/_/_ Time:_/_ E G, z O O „•• E <br /> E o� oz 9z <br /> C11 <br /> Lab Number: STK 3-17919 0 T U a a c <br /> "Cl o y a 0 a F II <br /> Samp Date Time za p •=+� -0-0 <br /> Num Location Description Sam led Sampled " ' ° " d o�' °''n <br /> o <br /> P P � F- w ca as O U -- c7 <br /> 1 G 1)\V <br /> Remarks: Relinquished. Dale: I rote: Relinquished Date: Time: Relinquished Daic: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: lime: <br /> Coreorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />