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CHAIN OF CUSTODY <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists <br /> Customer Copy (2 of 3) , <br /> 35730:02/06/201'7 "PEST DESCRIPTION - See Reverses for Container.Preservative and Sampling information <br /> i; <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division v j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> iu <br /> Phone: (209)468-0331 Fax: <br /> C7 W 3 to <br /> Contact Person: Rodney Estrada A <br /> o <br /> Project Name: <br /> Purchase Order Number: ; —' <br /> Quote Number: ST 20160309-01 <br /> 8 o F <br /> Sampler(s) o rw z 00 °O A <br /> U * -ib, P-- O <br /> 1,Jv � tj�pN\ <br /> ao ca Q`"' 0 W <br /> Sampling Fee: Pickup Fee: S c o n a� a <br /> Compositor Setup Date: / / Time:—/— E �, z O iic <br /> a z O <br /> -- vi o 5 zE- <br /> Lab Number: STK 3-17919 a w i T O a a Q c <br /> amp Location Description Date Time s Q o N n b <br /> Num Sampled Sampled F m pq CU 0 cv <br /> l G DW 1 1.1.1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received B): Date: time: Received 11�: 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 />