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- -= CHAIN OF CUSTODY <br /> . — - Special www fgUnc-com <br /> Analytical Chemists Field Copy (3 of 3) t <br /> � a <br /> lllllllllllllll 11 11111 111111 11111 11111 VIII VIII IIII IIII 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHp <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 cd <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada d <br /> Project Name: O �0cc <br /> � <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-0110 P4 <br /> w Q x o <br /> Sampler(s) 0 Cn �0 a A <br /> O <br /> a ¢ �c x <br /> Sampling Fee: Pickup Fee: c <br /> Compositor Setup Date: / / Time: / E z p o: ='z O <br /> Lab Number: STK 3-17919 0 ii a v m x x x <br /> Samp Date Time fl '� =o "o �_ <br /> Num Location Description Sampled Sampled °G' -�'� <br /> 1 G DW <br /> Rcimu k>: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Dare: Time: Received By: Datc: "Time: Received By: Dt+te: 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 /> 'Rhone:(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 />