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-= CHAIN OF CUSTODY <br /> Special www,fgUnc-eom <br /> Analytical Chemists Field Copy (3 of,3) % <br /> �IIIIIIII 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 4 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> > <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: O 0 <br /> Purchase Order Number: ua <br /> Quote Number: ST 20160309-01 <br /> o H <br /> Sampler(s) V w d >10O a Q ` <br /> * O <br /> Qp W ` <br /> Sampling Fee: Pickup Fee: g o o a� n E <br /> Compositor Setup Date: / / Time: z O x = O z E <br /> -- c a oz Cz <br /> 0 <br /> Lab Number: STK 3-17919 0 ti a a U x pC x <br /> o d <br /> Samp Date Time 6 b 72 <br /> Location Descripti � n <br /> b <br /> w - 3Sam led Sampled �Nun <br /> y <br /> a. PC M O U 0 <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Recci\ed 13�: Date: Time: Received By: Date: Timc: <br /> a Corporate Offices&Laboratory Office& Laboratory Office&Laboratory Office& Laboratory Office&Laboratory <br /> ,$53 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 /> PVne:(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)7832912 Fax:(559)734-8435 <br />