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CHMN OF CUSTODY <br /> . Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 1111111 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 3 a <br /> Atm: Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada O <br /> Project Name: O c° <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E <br /> �• W a :: F" <br /> Sampler(s) 0 vWi z > O <br /> 0 <br /> Sampling Fee: Pickup Fee: 5 ° o a <br /> '& o t a U <br /> Compositor Setup Date: /_/ Time: /_ p z O r? <br /> Lab <br /> E o <br /> Lab Number: STK 3-17919 0 5 n p <br /> 0 0 t <br /> Samp Date Time •5 <br /> Num Location Description Sampled Sampled FT- a ai m"O w <br /> 0 Travel Blank G LBW 4 <br /> I 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 />