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CHAIN OF CUSTODY <br /> ENVFRONMENTAL :� AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists _; Customer Copy 2 of 3) '- <br /> a", ; <br /> IIIIII'I'I II VIII III IIII III IIII IIIIIiI 35730:02106/2017 TEST DESCRIPTION - See R \erse side,.,r Container,Preservative and ipling information <br /> Client: San Joa i n County EHD <br /> Address: San Joaq4 Co.Environmental Health Dep, = iPs <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c. <br /> Phone: (209)468-0331 Fax: <br /> c? w 3 <br /> Contact Person: Rodney Estrada Q ¢ 2, a <br /> U <br /> Project Name: 1 �; }- `-� Ir ° <br /> rx <br /> Purchase Order Number: w ¢ � a <br /> Quote Number: ST 20160309-01 Q x E F o F <br /> Sampler(s) o z T O �_ A <br /> 1 v 2 �, a O <br /> Apt <br /> o a d 0 c W <br /> Sampling Fee: Pickup Fee: ~~—L a .o a O <br /> ° <br /> Compositor Setup Date:_/ /_ Time:_/ E a z Z E <br /> z <br /> Lab Number: STK 3-17919 0 % a a a -• o a <br /> Z2F II <br /> Samp Date Time s a o <br /> , <br /> Num led <br /> PSampled <br /> Location Description Sam " ' ° <br /> 1 G DW <br /> Remarks: Relinquished (Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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 />