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CHAIN OF CUSTODY <br /> ENVIRONMENTAL - - AGRICULTURAL Special www.fgUnc.com <br /> Customer Copy (2 of 3) <br /> 3730:02/06/2017 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 /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =' <br /> a <br /> Phone: (209)468-0331 Fax: °4 <br /> Contact Person: Rodney Estrada <br /> Project Name: v03 <br /> Purchase Order Number: s, v w i^n uS <br /> :3 W d h a a <br /> Quote Number: ST 20160309-0100 <br /> N x N <br /> 8 o H <br /> Sampler(s) z rO A <br /> Qlo �AMI� o <br /> * [a d`' e x <br /> Sampling Fee: Pickup Fee: c O o O <br /> Compositor Setup Date: / / Time: / z p a �'z O ,��, c <br /> Lab Number: STK 3-17919 0 w CL T w a W <br /> c 0 �? E� o:O �• F II <br /> Samp Date Time �5 Q .n °' =o a o '°x b b <br /> Num Location Description led Sam Sampled " ' 0 d <br /> P P F a CQ w O 0 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> R, cis ed By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> i <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 j <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 />