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CHAIN OF CUSTODY <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists 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 x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> a <br /> Contact Person: Rodney Estrada <br /> Project Name: C <br /> Purchase Order Number: <br /> CIO <br /> Quote Number: ST 20160309-01 °? ¢ a <br /> ,f W o 00Sampler(S L � t(I t,S l O lfltn 11, t.i. Cj + v Ca <br /> Cn O� <br /> oL * o O ° W <br /> Sampling Fee: Pickup Fee: E Or ; o a r4 Q <br /> Compositor Setup Date:_/_/ Time: / `E z 0.p o z z0 Ca <br /> 0 <br /> Lab Number: STK 3-17919 0 a n U x N x x <br /> o <br /> p o m D - - E y E a a b <br /> Sam Location Description Date Time o o b u o o „¢ = <br /> Num Sampled Sampled F a co O U�-' U <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 111yhn1v II � <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices 8,Laboratory Office&Laboratory Office 8,Laboratory Office 8,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 />