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-= CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 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 <br /> Attn: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. V <br /> Stockton,CA 95205 =' <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> C7 w 3 <br /> Contact Person: Rodney Estrada OL�� n Q ¢ L a <br /> Project Name: <br /> Purchase Order Number: ua <br /> Quote Number: ST 20160309-010 <br /> a ¢ N <br /> o E F o F <br /> Sampler(s) o w z T 00_ A <br /> C O <br /> Sampling Fee: Pickup Fee: F- <br /> n. N O 'J (�'U N cNd a{M b Z i N <br /> Compositor Setup Date: / /_ Time: / E a z O a� O 7;.• E <br /> w oh U c <br /> Lab Number: STK ✓ J is 3-17919 o w p a E tA n n <br /> Sam Date Time E o 0 <br /> p Location DescriptionT zo v v x v <br /> Num Sampled Sampled � a m p] O U 0 v u = a w <br /> 1 G DW 1 1.1.1 <br /> Remarks: Relinquished Dam: Time: Relinquished Date: Time: Relinquished Daae: Time: <br /> Received By: Date: Time: Received By: Date: Time: Rerei%ed Bv: 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 />