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CHMN OF CUSTODY <br /> k - , , Special www.fgUnc.com <br /> ENVIRONMENTAL -Analytical Clicinists <br /> Customer Cop (2 of 3) <br /> 35731:02/06/2017 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 <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 d <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada y ¢ <br /> � x <br /> Project Name: lu <br /> Purchase Order Number: > 3 <br /> Quote Number: ST 20160309-01 ¢ !' <br /> Sampler(s) U Cn z T <br /> Sampling Fee: Pickup Fee: 4 <br /> = U O P <br /> Compositor Setup Date: Time: / E a z p v co <br /> E o� Q <br /> Lab Number: STK 3-17919 0 ii n d p <br /> SaMP Date Time -S o y ¢ <br /> Num Location Description Sampled SampledE~ a Gq p w v6 <br /> 0 Travel Blank G LBW 4 <br /> 1 G DAN, -t <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 />