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CIIMM OF CUSTODY <br /> - AGRICULTURAL Special 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 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> co <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada y Q ¢ 2 a <br /> C x <br /> Project Name: n <br /> Purchase Order Number: U w 3 <br /> ';5 w ¢ rx <br /> Quote Number: ST 20160309-01 <br /> E <br /> o <br /> Sampler(s) o z T O <br /> U L � 0 <br /> * O O C C <br /> Sampling Fee: Pickup Fee: c <br /> Compositor Setup Date: / /_ Time:_/ E o z O a <br /> Ln E o Ca <br /> Lab Number: STK 3-17919 0 A ii a p <br /> Samp Date Time -s 0 is -5, ¢ E <br /> Num Location Description Sampled Sampled a° m rM 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 /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Goroorate 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 1 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />