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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> 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 3 <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada ¢ a <br /> c x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y ¢ x a <br /> E c F- <br /> Sampler(s) z O Q <br /> W <br /> Sampling Fee: Pickup Fee: F- <br /> c v o ,; v) fl <br /> o a <br /> Compositor Setup Date: Time: E '— Z 0 '— z y O 7;z E <br /> b c0. z Q H <br /> 0 <br /> Lab Number: STK 3-17919 s a a v h x x <br /> w <br /> 7� v F ap Ea a a a <br /> `o ^ <br /> F II <br /> Samp Date 7., <br /> -E '�v = y <br /> Num Location Description Sampled Sd I 2 [— a m m0 <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 8,Laboratory Office&Laboratory Office&Laboratory Office 8,Laboratory Office 8,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 />