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FAM <br /> 7,--invilIMENTAL — <br /> - -= CHMN OF CUSTODY <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada Q ¢ L a <br /> Project Name: ° a <br /> Purchase Order Number: j Q a a <br /> Quote Number: ST 20160309-01 <br /> 6 o F- <br /> 00 <br /> Sampler(s) E w z —. <br /> o v> > O z Q <br /> V ? N C4 x <br /> 14 <br /> Sampling Fee: Pickup Fee: <br /> NM N <br /> Compositor Setup Date: / / Time: / E z O ?z �O z E <br /> rj E .. C!n O C z <br /> O <br /> Lab Number: STK 3-17919 c a <br /> ii £a a ~ a <br /> b o � H � a <br /> Samp Location Description Date Time n o I m o N c� 2 a <br /> Num Sampled Sampled " v <br /> F- a m w O U C7 N w - w <br /> : u. <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 />