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M CHAIN OF CUSTODY <br /> ENVIRONMENTALSpecial www.fgifnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> i <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling mrormanon <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 =' <br /> a <br /> Phone: (209)468-0331 Fax: * a <br /> Contact Person: Rodney Estrada <br /> w o x <br /> Project Name: v ;, v <br /> Purchase Order Number. U 3,f v ua <br /> Quote Number: ST 20160309-01 N a FLnc4 <br /> oo <br /> Sampler(s) o Z T <br /> x <br /> In <br /> Sampling Fee: Pickup Fee: ^� ° o n <br /> ' C <br /> C J L4 U ""co i m 'd Z a� <br /> Compositor Setup Date: / / Time:_/ E Z O c n o z _cny <br /> o _ <br /> Lab Number: STK 3-17919 0 a a � M x x <br /> a c <br /> 0 o v FT- a4� op" <br /> Samp Date Time r �� '; —o [ x <br /> b <br /> Location Description <br /> Num P P led Sampled <br /> Sam <br /> E a zt roO U� �N s. <br /> 1 G DW <br /> I <br /> Remarks: Relinquished Date: Time: Relinquished Date: "rime: 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 /> 833 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 />