Laserfiche WebLink
- -_ CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> 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 a <br /> Phone: (209)468-0331 Fax: <br /> � w 3 <br /> Contact Person: Rodney Estrada {�-1 Q ¢ 52 a <br /> Project Name: 2� 1.� ``1 cn <br /> Purchase Order Number: "1 n cl,) v: c — <br /> Quote Number: ST 20160309-01 o a <br /> oo <br /> Sampler(s) o w z Q <br /> �rkr, 15(0 UUC�;,o- U = x � a O <br /> R 7 a cv x F <br /> Sampling Fee: Pickup Fee: <br /> 0. v o _ o o z <br /> Compositor Setup Date: / / Time: /_ z p o z c A H <br /> x <br /> Lab Number: STK 3-17919 0 a o V x x <br /> Samp Date Time Q u Q =o a o x <br /> Num Location Description Sampled led Sam " ' o ° <br /> P P � F- a m W 0 U <br /> I 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 /> �H/z&-c) h�/5 <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 />