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- -= CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists <br /> Custorr.=`:r Copy (2 of 3) <br /> R { I <br /> 35730:02/06/241h7 TEST DESCRIPTION - See Reverse side for Container,Pre,'A-vative and Sampling information <br /> Clierc San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. tz <br /> Stockton,CA 95205 =° <br /> c. <br /> Phone: (209)468-0331 Fax: <br /> C7 O 3 <br /> Contact Person: Rodney Estrada ¢ S <br /> Project Name: (� L0 POLIS w o <br /> Purchase Order Number: 0 1 <br /> Quote Number: ST 20160309-01 y w ¢ � a <br /> E o F <br /> Sampler(s) o Z �_ Ca <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / E Z p Z O z E <br /> v) E ocn o gz <br /> Lab Number: STK 3-17919 o c% a a E a x x <br /> a a <br /> sSamp Date Time �Fo —E 71 <br /> 7Fv�1 xII <br /> 0. <br /> , b :2Location Desci ptlon o <br /> Num Sampled Sampled d Mv <br /> m m O U <br /> 1 G DW I 1.1,1 <br /> Remarks: Relinquished Date: limo: Relinquished Date: Time: Relinquished Date: Time: <br /> >5I30/(k <br /> Recciced B.\: Date: Time: Received By: Datc: lime: Received Hc: Date: Time: <br /> Coroorate Offices&Laboratory Office&Laboratory iv 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 />