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CHAIN OF CUSTODY <br /> 9PMA)NMENTALFGL Special www.fgUnc.com <br /> Analytical Chemists <br /> f Customer ''opy ( of 3) <br /> :IIIIIIIIIIIIIIIIII iIIIIIIIIIIIIIIIIII 35730:02/06/2017 1 EST DESCRIPTION - See R erse side for Container, PreservaE':>e and Sarr Ging information <br /> Client: Sian Joaqur[County EHD , <br /> Address: San Joaqutt4 o. Environmental Health Dep r <br /> Water Qualipy Division j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. tg 0 <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: c x <br /> Contact Person: Rodney Estrada L pp� d <br /> Project Name: ,5•CQ r tll 7v� F dJ c7 w <br /> ro <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o w <br /> a W a 00 <br /> S ler(s) o w z r 0 .a <br /> ++ y � O <br /> 6b o Ch QO w <br /> Sampling Fee: Pickup Fee: GF- <br /> 0. <br /> Compositor Setup Date: /_/_ Time:_/_ a z O a z O „ E <br /> 044 <br /> 9z w <br /> Lab Number: STK 3-17919 a a �O a v n o <br /> ° o F <br /> Samp Date Time a '� � =o b x b <br /> Num Location Description Sampled Sam led ° ° <br /> I ?� G DW <br /> Ran„rl, : <br /> Relinquished,, ate:Date: Time: Relinquished Date: Time: Relinquished Date: Tillie: <br /> NSo 0�1_2ul!�? I,,, I , <br /> Rcecic,:d 13y: Date: lime: Received By: Datc: Time: Received By: Datc: 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 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 />