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- -= CHAIN 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 information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Waxer Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. u <br /> Stockton,CA 95205 3 n <br /> a� <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney EstradaA <br /> VoP <br /> 0 <br /> Project Name: ',�,a VJ v°, � <br /> lu <br /> Purchase Order Number: U > a w <br /> Quote Number: ST 20160309-01 0 ¢ 00 <br /> Sampler(s) o z O A <br /> U * � h � V, <br /> O ' <br /> a Q <br /> Sampling Fee: Pickup Fee: <br /> Compositor SetupDate: Time: E -E z0 x zZ O b <br /> M jz .0 z B � <br /> A H <br /> Lab Number: STK 3-17919 0 w a T cc o a a a) a o <br /> o F� CY F II <br /> Samp Date Time o c o b x ° <br /> Num <br /> Location Description �;,,,,,led Sam led °' '' o o N a <br /> I P F- a M oC O U= 0 v LZ_: 44 is. <br /> 1 G DW <br /> 7 <br /> Remarks: Relinquished Date: Time- Relinquished Date: Cimc: Relinquished Date: Time: <br /> Rerei�r�i E3�: Date: Time: Received By: 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 />