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e- CHAIN OF CUSTODY <br /> ENV' IRONMENTAL AGRICULTUKALSpecial www.fgUnc.com <br /> Analytical Chernists4 <br /> Custol:��r Copy (2 of 3) <br /> 35730:02106/2 7 TEST DESCRIPTION - See Reverse side for Container. Pre. ,:'vative and Sampling information <br /> Client San Joaquin Counh EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> ,s <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: RodneyEstrada <br /> �'z <br /> 0s/ l <br /> (Sr^t C7 W o <br /> Project Name: <br /> Purchase Order Number: U w 3 w <br /> S-Tb �! w <br /> Quote Number: ST 20160309-01 N <br /> o E o F� <br /> a W a & : JO Q <br /> Sampler(s) o In <br /> Sampling Fee: Pickup Fee: <br /> c O <br /> Compositor Setup Date: / / Time: /_ E Zp v °_' Z O v Z E <br /> E ai o �Z � q F <br /> 0 <br /> Lab Number: STK 3-17919 0 ;i n U m = x x <br /> > a� Ea a v a fl <br /> Z2 h II <br /> Sam Date Time a = E " E <br /> Num Location Description Sam led Sam led o -S o o 0 <br /> P p <br /> I U DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received BN: Date: Time: Received By: Dale: Dime: Received By: Date: Time: <br /> Coroorate 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 />