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EM CHAIN OF CUSTODY <br /> ENVIRONMENTAL <br /> - AGRICULTURAL 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 .i <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada �, Q E a <br /> � x <br /> Project Name: cwi, <br /> a <br /> Purchase Order Number: ,n <br /> Quote Number: ST 20160309-01 N a ¢ <br /> o w a <br /> Sampler(s) o vwi z > O <br /> O Q C <br /> Sampling Fee: Pickup Fee: S <br /> 0 -E x <br /> Compositor Setup Date: /_/ Time: / E Q z O �4 <br /> Lab Number: STK 3-17919 0 <br /> �O <br /> o O <br /> Samp Date Time -S Q '� ¢ <br /> Num Location Description Sampled Sampled F- a ca as O w <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 />