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CHAIN OF CUSTODY <br /> . , Special www.fgUnc.com <br /> Analytical Chernists 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 3 a <br /> Attn: Rodney Estrada p; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada n d <br /> Project Name: {Sq t p Jv w ° <br /> Purchase Order Number: D Z7 3 0 -• <br /> Quote Number: ST 20160309-01 N a00 <br /> ¢ a <br /> E o H <br /> Sampler(s) E w z . O Ca <br /> o v> > O .t <br /> iF a Q M 0 x <br /> o OW <br /> Sampling Fee: Pickup Fee: c ° o , ° O a <br /> C N M N <br /> Compositor Setup Date: / / Time: / E z O ' = z O z E <br /> M <br /> : E o°vai o Ez scl <br /> Q F- <br /> x <br /> Lab Number: STK 3-179190 a a E a a = x x <br /> 0 <br /> SampDate Time � p = E <br /> Location Description Sam " ' O <br /> Num led Sampled o a <br /> P P � F- P, w co 0 U C7 N w_: iw I P. <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&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 />