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-__ CHAIN OF CUSTODY <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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> C7 w 3 <br /> Contact Person: Rodney Estrada � A Q <br /> Project Name: <br /> Purchase Order Number: U w 3 j;;� <br /> Quote Number: ST 20160309-01 w ¢ co o; a <br /> x E P o F <br /> Sampler(s) 0 � O oo <br /> aA <br /> * on O <br /> ox <br /> Sampling Fee: Pickup Fee: G a c <br /> Compositor Setup Date: / / Time: / E a z p a lu d °O =' E <br /> oZ �Z <br /> Lab Number: STK 3-17919 0w T O <br /> 0 0 cd`: H II <br /> Samp Date Time a c b <br /> Location Description -6 r— c <br /> Num Sampled Sampled Q'^ x ° v <br /> 1 G DW I 1,1,1 <br /> Remark,: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Timc: <br /> r <br /> Received By: Date: Time: Received By: Date: Tintc: Received By: Date: Time: <br /> G%rporate 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 T Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />