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CHAIN OF CUSTODY <br /> ENVIRO --AGRICULTURAL 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 ind Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San'Joaquin Co.Environmental Health Dep <br /> Water Quality Division j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> . t.7 fit <br /> Contact Person: Rodney Estrada, <br /> 7 <br /> Project Name: ��Z x S LSO O a 3 V) _ <br /> Purchase Order Number: ` u W „ ul <br /> Quote Number: Sr 20160309-01 h ¢ `✓ x N <br /> $ C F o F <br /> W w g O oo A <br /> Sampler(s) 0 z w .a <br /> O <br /> Sampling Fee: Pickup Fee: •g <br /> a <br /> Compositor Setup Date: / / Time:_/_ p z p o' a r'z O <br /> v� o rn o fi. A F <br /> Lab Number: STK 3-17919 0 a a Vp x x <br /> Samp Date Time <br /> Num Location Description Sampled Sampled ° 'UtoOU 0 <br /> cv <br /> A.. G DW 1 1,1,1 1 .�� 1J , �• <br /> Remark.: Relinquished Date: 1 e mi quished Date: Time: Relinquished Date: Time: <br /> Received By: 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 />