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- -_ CHAIN OF CUSTODY <br /> ENVIRONMENTAL _ -AGRICULTURAL $ Special { www.fgUnc.com <br /> Analytical Chemistsr - Field Cop.,y (3 of 3) <br /> 11111111 11111111111111111111 111i IN P <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative anti Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San JoaquinXo.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c. <br /> m <br /> Phone: (209)468-0331 Fax: * a: <br /> 3r- <br /> C6ntact Person: Rodney Estrada <br /> l 7 <br /> ( a <br /> Project Name:i .—� ` t7 c <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 •o W00 <br /> a �" <br /> Sampler(s) o w z . 00 A <br /> Sampling Fee: Pickup Fee: a O a O c <br /> Compositor Setup Date: / / Time: / E n z p b z E <br /> c x w Q E= <br /> Lab Number: STK ) 3-17919 0 w a T -. U a a n <br /> Samp Date Time os '� °' 6 o c o b x b b <br /> Num Location Description Sampled Sampled " ° ° ° °' a II 2 <br /> P p F- a oa PG O V O N w = iw t�, <br /> I G DW <br /> t <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 1 � <br /> Regi,eel 13\ 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 PaaJa,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805Y392-2000 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 />