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CHAIN OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists 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 /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact PersoRodtley E�trada <br /> Project Namel�L� t ti w 2 r°n x <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> W< ti a <br /> Samplers) 00 z a 0 is A <br /> J ' U * o h P4 N 0 <br /> Sampling Fee: Pickup Fee: o y Q <br /> Compositor Setup Date: / / Time: / a z 0 a: °0 —,�,Z E <br /> oz ez w A E- <br /> Lab Number: STK 3-17919 o a, T O U a x o 0 <br /> 0 . H R:0 •• � F II <br /> Samp Date Time , '� =o <br /> Num Location Description Sampled Sa led " K �' U o <br /> P. F a M POO U <br /> 1 G DW 1 1,1.1 �Z, JaAj <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Rrcckcd By: Date: Time: Received By: Date: fine: Receiccd B_.: Date: Timc: <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)"2-0182 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=1423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />