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- -= CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/061201? TEST,DESCRIPTION -"See Reverse side.for Container,Preservative and Sampling information <br /> Client: San Joaqui>' County EHD <br /> Address: San Joaquin.Co.Environmental Health Dep <br /> Water Quality Division i <br /> Attn:Rodney Estrada tt <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 <br /> G <br /> v <br /> x <br /> Phone: (209)468-0331 Fax: W 3 v <br /> ou a, <br /> Contact Person: Rodney Estrada ) ¢ = a <br /> Project Name: <br /> Purchase Order Number: U w w <br /> Quote Number: ST 20160309-0101.N ¢ N <br /> Sampler(s) c W z T A <br /> a O <br /> o o Qo w <br /> Sampling Fee: Pickup Fee: 5 <br /> e <br /> Compositor Setup Date:_/_/_ Time:_/ E a. z p a: d ='Z �O ,��,� � E <br /> c rn a ? Z A F� <br /> Lab Number:. STK 3-17919 0 w a <br /> IL)o F a F0 °Samp Date Time o�N oF II <br /> bLocation Description >, -5 oo a v, n <br /> Num. Sampled Sampled O V <br /> 1 G DW 1 1,11 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Dime: <br /> I <br /> Received By: Date: Time: Received Bv: Date: Time: Received By: Date: 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 />