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VIM <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgUnc.com <br /> 6 <br /> Analytical Chemists <br /> } Field Copy (3 of 3) s <br /> ��IIIIVIIIIIIII'llllll ° 35730:02/06/2017 TEST DESCRIPTION - See R@'"verse 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 p; <br /> 1868 East Hazelton Ave. 3 -- <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> 6 ooo <br /> F <br /> Sampler(s) o z ; Q <br /> * ar h iv O <br /> a ¢-0 n w <br /> Sampling Fee: Pickup Fee: p� a eq <br /> Compositor Setup Date: / / Time: / E �, Z O x i O n za ro E <br /> z „ <br /> --- <br /> Lab Number: STK 3-17919 o w ii a U a a <br /> Samp Date Time �s ; § -z:O 2 0 c o x <br /> Num Location Description Sampled <br /> led Sam <br /> PF• a GG GC O U C7 v u,_: i�. iJ. <br /> G DW 1 1,1,1 <br /> I' <br /> Remarks: Relinquished Date`. 1 Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Datc: Time: Received Bv: Date: Time: <br /> r <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 />