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CI iAIlY OF CUSTODY <br /> Special www.fgUnc.com <br /> ENVIRONMENTAL . Customer Copy (2 of 3) <br /> Analytical ChemistsI I ( itI 35730:02/"/2017TEST 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 .� <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Yx <br /> Project Name: o C N vi <br /> cG y <br /> Purchase Order Number: w Q a <br /> a <br /> Quote Number: ST 20160309-01 o x o t- <br /> a a. 0 q <br /> Sampler(s) E Z C a <br /> U x v a O <br /> Sampling Fee: Pickup Fee: _ ° o , y' � o <br /> Compositor Setup Date: / / Time: / E a z O � lu = z V� <br /> Cn U c is, x <br /> Lab Number: ST 3-17919 0 a <br /> Samp Date Time m = ^o <br /> ; , <br /> Location Description .7S5 <br /> Num Sampled Sampled W C i tq x 1J. <br /> u_ <br /> 1 G DAY 1 l,l,l <br /> -" Date: Time: Relinquished Date: "rime: <br /> Remarks: Relinquished Date: Time: Relinquished <br /> Received By: Date: Time: Received By: <br /> Date: "rime: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory 9415 W.Office&Laboratory Office W. <br /> Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 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 /> - - --- --- c nl�t3 Fax: (209)942-0423 Fax: (530)343-3807 Fax: (805)783-2912 Fax:(559)734-8435 <br />