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CHmri OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> i 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 „a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 ° <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada �' A <br /> t p,I 1L":�J��1 <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o: N <br /> 00 F <br /> Sampler(s) o WWi �. a O A <br /> U c? v� a' p <br /> ♦ �1� �� i� * a d M $ x <br /> Sampling Fee: Pickup Fee: rcq) a <br /> c _ <br /> Z Compositor Setup Date:_/_/ Time:_/_ E z O =`� 1°O c <br /> - „z <br /> n E 0 C o .. c u A F <br /> Lab Number: STK 3-17919 o w ii U U w <br /> Samp Date Time 9 p '� <br /> 1 � ' Location Description ° C7 iw� <br /> ° <br /> w NNum Sampled Sampled w 0 V <br /> J k" <br /> 1 G DW <br /> Remark,: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> .,J <br /> Received By: Date: Time: Received By: Date: Timc: Received B}°: Date: Time: <br /> Corporate Offices&Laboratory Offico&Laboratory' Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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 />