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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURALSpecial www.fgUne.eom <br /> Analytical Chemists Field Copy (3 of 3) <br /> li <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 /> Water Quality Division <br /> Attn:Rodney Estrada y, <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 c <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: Cd <br /> V� <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E w z V �° ° A <br /> Samplerz s) c � � <br /> 5U C4 <br /> a ¢0 � W <br /> Sampling Fee: Pickup Fee: ? o a o F" <br /> Compositor Setup Date: / / Time: / o z p is c Z �o 2 z <br /> --- v� E a m o C z GL A F• <br /> Lab Number: STK 3-17919 0 a a U x x x <br /> 0 0 <br /> Samp Date Time 5 0• =3 'nb x bs.!Q :2Location Description 'u ' O M o O " iRNum Sampled Sampled W w U u. . <br /> 1 L� I? G DW <br /> Remarks: Relinquished Date: 14WO Relinquished Date: Time: Relinquished Date. Time: <br /> Received Bv: Date: j Time: Revered B�: Date: Time: Received By: Date: Time: <br /> sv 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 /> •I 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 />