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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical '• Field Copy (3 of 3) <br /> 35730:01/06/2017 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 /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A d 2 <br /> Project Name: c <br /> Q 11 I'o�i a <br /> Purchase Order er::7 0q E C O P(-� <br /> Quote Number: ST 2016"01 (j'b c-*J <br /> °� <br /> Sampler(s) o vWi z p A <br /> v a O <br /> e w <br /> Sampling Fee: Pickup Fee: c a o^� °"OCA <br /> a F <br /> Compositor Setup Date:_/_/_ Time:_/_ z O rn o z <br /> o z <br /> i:. <br /> Lab Number: STK 3-17919 0 �% a U x x x <br /> 0 o a? H a0p �a F II a a <br /> Samp Date <br /> 3 <br /> Location Description <br /> Num Sampled Tmpled .An O Uo N'! <br /> I G DW <br /> Reniiuk,: Date: Time: Relinquished Date: Time: Relinquished Date: I'imc: <br /> Rcrei\cd 13 : Daie: Time: Received By: Dtrte: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> K5 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Siknta Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> P(tone: (805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> EM 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 />