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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGFUCULTURAL Special www.fgUnc.com <br /> Analytical Chernis Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division .1 <br /> Atm: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> co <br /> Stockton,CA 95205 3 a <br /> a: <br /> Phone: (209)468-0331 Fax: w 3 <br /> Contact Person: Rodney Estrada Q a <br /> a <br /> Project Name: O WWi un <br /> x � <br /> Purchase Order Number: Qa w <br /> Quote Number: ST 20160309-01 o a £ o <br /> a W a. „ �:) °O Q <br /> Sampler(s) o � z O a a <br /> U rx O <br /> * x <br /> o W <br /> Sampling Fee: Pickup Fee: CL <br /> Compositor Setup Date:_/ /_ Time: /_ z O c o z cw� Q H <br /> 0 <br /> Lab Number: STK 3-17919 <br /> Samp Date Time S ¢, =o c o x -6 ,6 <br /> Num Location Description Sam led Sam led '- o N a <br /> P P � E- <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. 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 /> I <br />