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CHAIN OF CUSTODY <br /> FUL <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35731:02/06/2017 TEST D$SCRIPTION See Reverse side for Container,Preservative and Sampling informatiom <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: y_ <br /> a <br /> w _ <br /> Contact Person: Rodney Estrada <br /> Project Name: 4 "i Y ,r4 '. \ `i� N C w <br /> Purchase Order Number: <br /> t g > Q a <br /> Quote Number: ST 20160309-01 <br /> Samplet(s) i U rnrA <br /> z > O <br /> o O Ga a <br /> Sampling Fee: Pickup Fee: F ° ; 'o a <br /> Compositor Setup Date:_/_/_ Time:_/_ z p u U <br /> m <br /> 0 Ln <br /> A <br /> Lab Number: STK 3-17919 0 (n 9. 0 p <br /> 0 0 ? F x� > <br /> Samp Date Time -S d <br /> Num Location Description Sampled Sampled ' H a c� o O w <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recciccd BV: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office 8r Laboratory Office 8r 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 />