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CHMN OF CUSTODY <br /> .ONMENTAL <br /> + _-`—M AGRICULTURAL <br /> - Special t WWW.fg[inc.COM <br /> ENVIAnalytical Chemists Customer Cpy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container.Preservative; nd Sampling informanon <br /> Client: San'Joaquin County EHD <br /> Address: SaniJoaquin Co. Environmental Health Dep <br /> Water Quality Division .j <br /> Attn:Rodney Estrada °a1 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205lu <br /> 3 a <br /> Phone: (209)468-0331 Fax: P4 <br /> Q- <br /> Contact Person: Rodney EstrWa <br /> Project Name: 3v 1fv <br /> ---� � c7 N <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 K&MV 'M a ¢ rn a a <br /> E o F <br /> Sampler(s)`� ` U * 00 0 A <br /> a O <br /> a „a M o x <br /> Sampling Fee: Pickup Fee: ? ° o <br /> Compositor Setup Date: / / Time: / E n z p a O Z C <br /> z <br /> --- -- 8 o Cn o z c 'w A F- <br /> Lab Number: STK 3-17919 o a a a U co x — <br /> a o ?? H a0 <br /> > 2e 0E' <br /> DateTime c Samp ooo Location DescriptionNum Sampled Sampled F. o F xII <br /> o a�' <br /> PC co O U C7 N iw a J u <br /> I G DW 1 1,1,1 •�1 <br /> Remarks: Relinquished Date: Timc: ReArished Date: Time: Relinquished Date: Dime: <br /> Received By: Date: Time: Received 13 : Date: Time: Received By: Dar: 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 />