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Special CHAIN OF CUSTODY <br /> www.fgllnc_mom <br /> Field Copy Q of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - <br /> See Rerz�s�.Sidi. I„1.t ,,,, ,,,jer preservative and Sam lin <br /> Client: SanJ009 <br /> uin Comity EHD -- - -_ - P g information <br /> Address: Sanloa*' C). Environmental Health Dep <br /> Wate,QLtalityDivision a <br /> Atm: Rodney Estrada y I <br /> lAfiR East Haze ton Ave <br /> . 3 1 <br /> Stockton' CA _ <br /> Fax: * oG x <br /> phone: (2(9y 468-0331 _ <br /> Estrada A Q 2 <br /> Rodney <br /> Contact Person: 0 x <br /> project Name: \ } U w n -• <br /> purchase Order Number: - a uj <br /> H Q <br /> Quote Number: <br /> ST 20160309-01 e N <br /> a F <br /> z A <br /> Sampler(s) �� �, U * Oa <br /> w oQo <br /> Pickup Fee: c d o ?�DI o• <br /> Sampling Fee: is P4'v ID c Z v <br /> Compositor Setup Date: _/_/— <br /> Time:—/ z o z U Oz M E <br /> CA) .2 A H <br /> 3-17919 0 LA 5 �' U x H x x <br /> Lab Number: STKo 0 N a 0 € <br /> Date Time 6 v = E C c b x <br /> amp Locat1O"Description Sampled Sampled F; a° w" w�O U c7 NE.�' '� <br /> rz iJ. <br /> Num G DW <br /> — l ' <br /> f <br /> Relinquished I);{r: lime: Relinquished Date: I imec Relinquished <br /> Remarks: Dace: <br /> Time: <br /> Received By: Raiz: Time: Received By: Date: Time: Received By: <br /> Date: <br /> Time: <br /> a ices$Laboratory Office$Laboratory Office$Laboratery Office$ abnratory <br /> F r 2500 Stagecoach Road 563 E. Lindo office$Labor to <br /> 853 Corporation Street 3442 Empresa Drive,Suite D <br /> Pat 'CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 9415 W. <br /> Santa Phone: 392-2000 Phone:(209)942-0182 Phone: 530 343-5818 p Goshen Avenue <br /> Phone: :805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(5 0)343-3807 Phone:(805)783-2940 Visalia,CA 93291 <br /> Fax:(805)783-2912 � Phone:(559)734-9473 <br /> Env Fax: Fax:(559)734-8435 <br />