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- -= 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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada <br /> Project Name: 0 1�- ASS, a l j�+j I�D t� ro <br /> 'v <br /> Purchase Order Number: 0'�IP <br /> Quote Number: ST 20160309-01 <br /> a w a co A <br /> Sampler(s) l ( , . t o vwi z <br /> U ,� N O <br /> Sampling Fee: Pickup Fee: <br /> is p <br /> t:N M y <br /> a °� .2 <br /> Compositor Setup Date:_/_/_ Time:_/_ z p c o z c z I.T. <br /> A F <br /> 0 <br /> Lab Number: STK 3-17919 0 rn a. a cc.. U x <br /> Samp Date Time x <br /> o u 'Q c a c <br /> Location Description <br /> 1 >' m M <br /> Num Sampled Sampled o 00 aOo d ua <br /> i= w G <br /> DW 1 1,1,1 1v 1: i,',i i•,' ::v <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 />