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- _ CHAIN OF CUSTODY <br /> . ---- Special unvw.rgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Customer Cbpy (2 of 3) <br /> Illllilllillillll�llmilli IIIIIIIIIIIIIIIIIIil11111l, 33730:02/06/2017 ILSr DLSCR11111 J\ - See Reverse side tier .Contamer. Presenan\e and Sampling intormanuu <br /> Client: Sai.Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> V A � <br /> Contact Person: Rodney Estrada <br /> L.0 1 <br /> Project Name: rA M vn <br />' Purchase Order Number: <br /> Quote Number: Sr 20160309-01 a ¢ rA _ a <br /> 00F- <br /> Sampler(s) o Z w A <br /> .7 <br /> ilv U * .n `�' a x <br /> o O E� ¢O W <br /> Sampling Fee: Pickup Fee: c a ; c <br /> o y 0 ..'0 �'V <br /> Compositor Setup Date:_/_/_ Time: o � <br /> _/_ z O o z c z w A <br /> 0 <br /> Cn <br /> Lab Number: STK 3-17919 0 ii a U w Q c <br /> Samp Location Description Date Time a o civ d ZNum Sampled Sampled E a a1 W O U-� C7 c t rT� <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Dace: Time: Relinquished 1)atr: I im <br /> Received By: Date: Time: Received By: Date: Time: Received By: <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 />