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_- CHMN OF CUSTODY <br /> LNVIRONMENTALvAMCULTUML Special www.fgUnc.com <br /> Analytical Chemists <br /> Field Copy (3 of 3) <br /> 1111111111111 In 1111111 IN 111111111135730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and S.unpling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-0331 Fax: x <br /> C7 W 3 <br /> Contact Person: Rodney Estrada A Q <br /> o a_ <br /> Project Name: I F C7 a , GO <br /> Purchase Order Number: _ uj <br /> Quote Number: ST 20160309-01 N w `" a <br /> � E' 0 <br /> Sampler(s) c z T �D A <br /> U t a? y C4 0a <br /> * x <br /> Sampling Fee:r Pickup Fee: Cnp <br /> a = <br /> Compositor Setup Date:_/_/_ Time: O <br /> Z_/_ z O o <br /> o x � <br /> Lab Number: STK 3-17919 0 a a U x x <br /> d o H <br /> Samp Date Time <br /> Location Description o o d <br /> a O UOIn <br /> o s„n:Num Sampled Sampled <br /> tz w <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Datc: Time: Relinquished Date: Time: <br /> Recciaei B�: Date: I'imc: Received By: Date: Time: Received By: Date: Time: <br /> Gornorate 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 /> Krnta 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 />