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_z CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> 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 /> Water Quality Division .a <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> c. <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: vW, ro <br /> Purchase Order Number: U wCnua <br /> Quote Number: ST 20160309-01 o a d `" <br /> n W Q E F' <br /> 00o F� <br /> Sampler(s) o Z Q <br /> U <br /> x <br /> o p C a Q 0 <br /> Sampling Fee: Pickup Fee: c a .oro a <br /> 0. y o rJ" a''v ami M �e`�' 'd Z y a <br /> Compositor Setup Date: / / Time:_/ E Z O E o z c Z w Q F= <br /> 0 <br /> Lab Number: STB 3-17919 bi a O a� a <br /> o F P4 H II <br /> Samp Location Description Date Time o o '@ o N c o v <br /> Num Sampled Sampled t. a c4 a1 O U- 0 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished 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)5254172/Ag Fax:(805)392-2063 Fax: (209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />