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CHAIN OF CUSTODY <br /> ENVIRONMENTAL - Special www.fgUnc.com <br /> Analytical Chemists 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 a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> luc <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: cW„ <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N a <br /> E o E~ <br /> wSampler(s) v co zo A <br /> * x� x <br /> cA o O �� QO W <br /> SampCn <br /> ling Fee: Pickup Fee: a. <br /> o ra a a� �O <br /> Compositor Setup Date:_/_/ Time:_/ E 8 a, z O o z <br /> c� o gz u. Q <br /> Lab Number: STK 3-17919 o ii <br /> 0aUe - UEo aOa E_ —,-fl Date Time � 6 15 <br /> Location Description Cd M6 .�a xCa: <br /> Num Sampled Sampled � <br /> xba <br /> x <br /> W O V O <br /> 1 G DW 1 1,1,1 <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 />