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- -= CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chernists 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 /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada j! A d <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a ¢ `" x <br /> w a O A <br /> Sampler(s) o vwi Z oo� O 1 a <br /> U * ?? Cn O <br /> * a O !x0 ' ¢O W <br /> Sampling Fee: Pickup Fee: ;r. o � a'� p <br /> rn <br /> Compositor Setup Date:_/_/_ Time:_/_ 6 c z Q a �'z, L°,Otu <br /> rn 6 o rn o g z u A E <br /> Lab Number: STK 3-17919 0 ii o U x x <br /> h <br /> Samp Date Time <br /> Num Location Description Sam led Sam led ' ° �' d °"' °' ' '� ° i w z <br /> P P F w PG G4 O U C7 cv w =: <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: 1'irne: 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 />