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---=4�4 CHAIN OF CUSTODY <br /> ENVIRONMENTAL - • , Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> 111111111111111111111111111111111111 IN 1111111111 Nil IN 35730:02106/2017 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 /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney EstradaCn <br /> A <br /> V a <br /> Project Name: 0 <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y a ¢ `n <br /> g E H o F- <br /> Sampler(s) 8 w r` H � °° O <br /> GO <br /> U .2 to O ?' O <br /> Sampling Fee: Pickup Fee: 5 c a O <br /> Compositor Setup Date:_/_/_ Time:_/ s, z p <br /> v� E Coen c 5x iu A H <br /> Lab Number: STK 3-17919 0 T U a <br /> H xo � H <br /> Sam <br /> p Date Time p '� o a o v <br /> Num kation Description Sampled Sampled ' ° ro " 0 <br /> P P � H a M aao U -� <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 />