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- -= CHmri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 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 3 a <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> cj ua 3 � <br /> Contact Person- Rodney trada _ Q <br /> Project Name,) nnQ L� b <br /> Purchase Order Number: > 3 a € z <br /> Quote Number: ST 20160309-01 ¢ E 7 <br /> Sampler s) o z > O r. <br /> Sampling Fee: Pickup Fee: <br /> c y p cd 0.. tr <br /> Compositor Setup Date: / / Time: —/— = z p w U T <br /> --- E c q <br /> 0 <br /> Lab Number: STK 3-17919 0 a a p ZA <br /> 0 o v F 9z o� <br /> Samp Date Time sa n � � '�L ¢c <br /> Num Location Description Sampled Sampled ' a w O W <br /> 0 Tra�cl Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinyuishe.i Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> j lX 14 ... <br /> Received B�: Date: finre: Received By: Date: Time: Received By: Date: Time: <br /> « I <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 /> tanta 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 />