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---= CIIAIII OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> t <br /> 35730:02/06/2017 TEST DESCRIPTION See Reverse sidY for Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep I <br /> Water Quality Division 3 a <br /> Atm: Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> q on v <br /> Contact Person: Rodney Estrada ¢ a <br /> Project Name: b <br /> Purchase Order Number: 06 <br /> U w 3 v ua <br /> Quote Number: ST 20160309-01 L a Q CIO a <br /> 8 o H <br /> Sampler(s) o wwi z ti O O <br /> rn cx a O <br /> _ x <br /> ou O 'c ¢ W <br /> Sampling Fee: Pickup Fee: _ v a N aF" <br /> Compositor Setup Date: i / Time: / (E E 2 O Z c Ca F= <br /> x <br /> Lab Number: STK 3-17919 o w 6 a v E a a a n <br /> o y <br /> Samp Date TimeQ, s =of c of x <br /> Num Location Description Sampled Sampled V ' c ° 6 " a' <br /> P p E— a m as O U V <br /> i G DW <br /> I <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 />