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- -= CHAIN OF CUSTODY <br /> ENVIRONMENT AL AGRICULTURAL <br /> - Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 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 y <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> C7 W a`j o7 a <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-0100 <br /> o F <br /> Sampler(s) o w z > O A <br /> U <br /> x <br /> iw o O •mom ¢O W <br /> Sampling Fee: Pickup Fee: c a o a c F <br /> CN M iZ- y <br /> a U O rJ a'U ai ce ` 'O Z i <br /> Compositor Setup Date: /_/ Time: / E z O c o z c w E <br /> 0 <br /> a a> w U - x <br /> Lab Number: STK 3-17919 b w a 0 a a v a <br /> = F II <br /> Samp Location Description Date Time fl o o N n <br /> Num Sampled Sampled <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: 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 /> 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 />