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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGMULTURAL Special www.fgunc.com <br /> Analytical Chemists <br /> q � <br /> Field Copy (3 of 3) <br /> � v 35730:02!06!2017 TEST DESCRIPTION ;a 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 3 ,a <br /> Attn:Rodney Estrada ° <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA. 95205 <br /> c�. <br /> Phone: (209)468-0331 Fax: a; <br /> c7 tr-1 <br /> Contact Person: Rodney Estrada A Q 2_ <br /> C7 W a~i p R"5 <br /> Project Name: <br /> Purchase Order Number: <br /> w a <br /> Quote Number: ST 20160309-01 x E o F <br /> 00 <br /> Sampler(s) z A <br /> U * = n' O l <br /> ou O Cvi ¢O $ W <br /> Sampling Fee-..IN Pickup Fee: c a o a y o <br /> cn C <br /> Compositor Setup Date: / /— Time:_/_ Q z 'p o' °O ,�—�, d <br /> 0 <br /> Lab Number: STK 3-17919 0 rn a a. U to x x i <br /> 0 0 = H a a a E� II ca <br /> Samp Date Time 6 �y' § 0 '� ` =0 8" b x _' -6 <br /> Location Description d >, O � o N N� 2 0. °' °: <br /> Num Sampled Sampled F a m na O U-- O N Vw <br /> I G DW <br /> Remarks: Relinquished Date: Time. Relinquished Date: Time: Relinquished Daie: I'imr: <br /> Recek ed B% Date: Time: Received By: Durr: Time: Received By: Date: l inur: <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)942-01,82 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 />