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- -= CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Field Copy (3 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 <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c.� <br /> Phone: (209)468-0331 Fax: * x <br /> C7 Lc1 <br /> Contact Person: Rodney Estrada Q Q <br /> o � <br /> Project Name: Lwi, <br /> Purchase Order Number: U W <br /> Quote Number: ST 20160309-0100 <br /> Q N H <br /> E O <br /> Sampler(s) o z > O <br /> O <br /> x <br /> N°o w <br /> Sampling Fee: Pickup Fee: <br /> d y Orj R•' u Vco <br /> Compositor Setup Date: /_/ Time: /_ £ E z O c .o z c O w fa FE-- <br /> 0 <br /> Lab Number: STK 3-17919 0 % ii o U x N x x <br /> E <br /> 0 0 F a a ?a F II o n <br /> Samp Location Description Date Time �, o o N o <br /> Num Sampled Sampled t a �q m O V C7 cv <br /> 1 G DW 1 1,1,1 <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)525-4172/Ag Fax:(805)392-2063 Fax: (209)942-0423 Fax: (530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />