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CHAIN OF CUSTODY <br /> ENVIRONMENTAL -- FJCULTUML Special www.fg o.eom <br /> Analyticii Chemists v <br /> Field Copy (3 of 3) <br /> 1, 35730:02/06/2017 TEST DESCRIPkkON - See Reverse side for Container,Preservative and Sampling informatio r <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmen( Health Dep <br /> s <br /> Water Quality Division :a V <br /> t <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. M <br /> Stockton,CA 95205 <br /> d) <br /> Phone: (209)468-0331 Fax: <br /> C7 w 5c � _ <br /> Contact Person: Rodney Estrada <br /> Project Name:� A `'A <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a <br /> o F <br /> Sampler(s) E z O O° <br /> w A <br /> \� <br /> Sampling Fee: Pickup Fee: c a 20" <br /> C.�D r_± <br /> Compositor Setup Date: / / Time: J E �, z° p �' O z E <br /> z „z <br /> --- -- o� o w o H <br /> Lab Number: STK 3-17919 o <br /> c 0 F aha ?a H II a c <br /> Samp <br /> 1 Date nTime = <br /> Location Description " <br /> am led Sam leNum S � W O U <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Dare: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratotly 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)734-9,473 <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 />