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IM <br /> Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> P www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) ' <br /> 35731:02/06/2017 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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: a <br /> c7 ki h <br /> Contact Person: Rodney Estrada d <br /> Project Name: <br /> Purchase Order Number: ., > be a <br /> Quote Number: ST 20160309-01 a <br /> Sampler(s) EW z T <br /> V * a <br /> ca [ <br /> Sampling Fee: Pickup Fee: a o a, <br /> Compositor Setup Date:_/_/_ Time:_/_ a z O x " U <br /> I A <br /> Lab Number: STK `' % ! 3-17919 o w a v.. p <br /> oc <br /> Samp Location Description Date Time a o � aQ.o <br /> Num Sampled Sampled � P a CO PC O W et <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: fume: Relinquished Date: Time: Relinquished Date: I ime: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: I ime: <br /> i <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 /> 'ii <br />