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CHAIN OF CUSTODY <br /> ENVIRbNMENTAL - AGFUCULTUML Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodne�Estrada <br /> Project Name: S U ( (il C II C7 a Cd ti <br /> Purchase Order Number: U! P {p "IS I U w ua <br /> Quote Number: ST 20160309-01 H00 <br /> Sampler(s) z 00 A <br /> N0. <M x <br /> Sampling Fee: Pickup Fee: c G a c <br /> a G <br /> Compositor Setup Date:_/_/_ Time:_/_ E — zO a Z Oi <br /> o g z i?. A E- <br /> Lab Number: STK 3-17919 w w T a aQ a <br /> Samp Date Time led Sampled o a d =o c o b x b b <br /> Num Location Description Sam °' ' o S o ,, a <br /> P P H a GC M Ui:4 u. i=. <br /> 1 G DW <br /> Remark : Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received 8�: 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 />