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ss CHMN OF CUSTODY <br /> . , Special www.fgUnc.com <br /> Analytical Chemists --- Field Copy (3 of 3) <br /> 35731:02/06/2017 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 <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> C7 Lci 3 <br /> Contact Person: Rodney Estrada O : 2 0.., <br /> Project Name: <br /> Purchase Order Number: > a <br /> Quote Number: ST 20160309-01 N <br /> E <br /> Sampler(s) o z T <br /> c <br /> Sampling Fee: Pickup Fee: E- <br /> ° a <br /> U <br /> Compositor Setup Date: /_/ Time: / E z O ; X <br /> E o C? <br /> Lab Number: STK 3-17919 0 a a <br /> "tO <br /> 0 0 F o'n <br /> Samp Date Time r- n Q E <br /> Num Location Description Sampled Sampled u E= a w� 1z O w a <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <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 />