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- -= CHAIN OF CUSTODY <br /> - Special www.fgUnc.com <br /> ENVIRONMENTAL AGMULTURAL <br /> Analytical Chemists Field Copy 0 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joagluin County EI-1D <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division ,a <br /> Attn:Rodney Estrada °a1 <br /> 1868 East Hazelton Ave. c g <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> C7 A �• <br /> Contact Person: Rodney Estrada Q1 S <br /> Project Name: C7 <br /> Purchase Order Number: <br /> y W ¢ H a a til <br /> Quote Number: ST 20160309-01 y x N <br /> a W a. ,�, E o°o <br /> Sampler(s) w z .; A <br /> w O <br /> 'K' N <br /> QO W <br /> Sampling Fee: Pickup Fee: <br /> u „ p .54mp <br /> Compositor Setup Date:_/_/_ Time:_/_ �, z O a =z <br /> cco <br /> ) s 000 a:. gz i= A E• <br /> Lab Number: STK 3-17919 0 " a e v w x x x <br /> 0 0 2 H � a a <br /> Sam Date Time :9 b <br /> Num Location Description Sam led Sampled " a` -S °oN N 2 n <br /> P P F a W mO U-� c7A w <br /> ] G DW •L .� 1 1;1,1 <br /> Remarks: lkelinquishedt bate Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: "lime: Received By: Date: Time: Received By: Date: Time: <br /> (3aroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 8513 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 /> iw <br />