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CHAIN OF CUSTODY <br /> FM . , <br /> Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> 35730:02/06/2017 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 j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =� <br /> Phone: (209)468-0331 Fax: * °4 <br /> A <br /> Contact Person: Rodney Estrada <br /> C7 w g? o <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 d �_ <br /> Ew E~ 0 <br /> Sampler(s) <br /> 00 <br /> M o <br /> Sampling Fee: Pickup Fee: c c ?-j; a c <br /> Compositor Setup Date: / / Time:—/ - z p x Z O <br /> -- a gz u A t- <br /> Lab Number: STK 3-17919 0 w n. M Vp a a = a a <br /> c <br /> N 'D 'b 'D L C. 'O 'D <br /> amp Location Description Date Time 'O a 5 o N „ o <br /> Num Sampled Sampled F a pq M O U-- 0 eq is. <br /> 1 G D%\ <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Daae Time: <br /> Received By: Date: lime: Received By: Datc: Dime: Received By: Date: Time: <br /> s <br /> 'Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 0853 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 />