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CHmri OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling infimnation <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division j <br /> Atm: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: <br /> a <br /> Contact Person: Rodney Estrada A ¢ a <br /> Project Name:jCjo35 �'� ` ��L Out C7 vWi R <br /> Purchase Order Number: v w w <br /> W <br /> Q o" a <br /> Quote Number: ST 20160309-01 'ti a N <br /> E o F <br /> Sampler(s) U w z v,. OO °O Q <br /> c O <br /> cw Q`^ °o W <br /> Sampling Fee: Pickup Fee: 5 a O o a 0 a <br /> 0. <br /> 0 <br /> o <br /> Compositor Setup Date:_/_/_ Time: /_ E a z O " -z O z <br /> V) 8 o V) o g z V. Q F <br /> 933 �5r/ w x N x x <br /> Lab Number: STK 3-17919 T M O a a a a <br /> Samp Date Time 6 pF w ' = o <br /> :2 2 <br /> Location Description 4) o o <br /> Mca NNum Sampled Sampled W O V O <br /> 1 G DW <br /> Remarks: Relinquished -j,1� i`�� Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 15 <br /> Received-By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> 21p/� /- <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 />