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- = CI MN OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists <br /> t: <br /> Customer Copy (2 of 3) <br /> 3-;'.-30:02/06/20l? TEST DESCRIPTION See Reverse side for Co hainer, Preservative and Sampling* information <br /> s <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. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> w 3 <br /> Contact Person: Rodney Estrada d E a <br /> Project Name: C7 w„ <br /> 3 a — <br /> Purchase Order Number: w N u <br /> Quote Number: ST 20160309-01 ti x N <br /> oho <br /> Sampler(s) 0 � z T O <br /> Es p a Q <br /> Sampling Fee: Pickup Fee: E <br /> b � <br /> Compositor Setup Date: / / Time: / E c z p Z O Z E <br /> d c a z <br /> 0 <br /> Lab Number: STK 3-17919 0 <br /> oa a F II ry n <br /> Samp Date Time -B Q =of -o b a a <br /> Location Description v > o , o N y z x v <br /> Num Sampled Sampled F a m m O U C7 N c w <br /> 1 G DW 1 1.13 <br /> Remark>: Relinquished Date: 'Dime: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: D te: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corl2orate 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 />