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-__ CHAIN OF CUSTODY <br /> k — • , Special www.fgUnc.com <br /> Analytical Chemists <br /> Customer Copy (2 f 3) <br /> 730:02/06/2017 "ST DESCRIPTION - See Rever,.:side for ntainer. Preservative and Samp 'g information i <br /> Client: San Joaquin unty EHD 1 a <br /> Address: San Joaquin Ck Environmental Health Dep <br /> Water Quality Division <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> C7 W <br /> Contact Persort $d y_Estraad'� A <br /> Project Name:j f /�► P '"� O r° <br /> Purchase Order Number: S ��C 6 a ua <br /> Quote Number: ST 20160309-01 <br /> _ N <br /> [at P. 0 <br /> n <br /> S mplers) <br /> o rn d Q <br /> O .a <br /> Y � "pa Q�" o� x <br /> Sampling Fee: Pickup Fee: c c a C4 a F- <br /> 4. y Or7. cC M 'O Z. y a) <br /> Compositor Setup Date:_/_/_ Time: / E a z O � 2 O 2 4 N E <br /> G c h e prn oz Cz u Q (~ <br /> Lab Number: STK 0 ��+' � / J 3-17919 o w a a a y o n <br /> v O 5 <br /> amp Date Time -Sp 'i; ^' =o o ' <br /> Location Description > e o n v <br /> Num Sampled Sampled t, a oG W O U J r4 <br /> 1 x G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Reeei%ed B\: 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 />