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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 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 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: w 3 <br /> Contact Person: Rodney Estrada ro O <br /> = x <br /> Project Name: <br /> Purchase Order Number: U W uj <br /> Quote Number: ST 20160309-01 o a Q <br /> a W a 00 Q <br /> Sampler(s) o Z <br /> Ln T O a <br /> U pG O <br /> c * o O 14 <br /> E� ¢O ° W <br /> Sampling Fee: Pickup Fee: <br /> ° ° y N m ai <br /> Compositor Setup Date: /_/ Time: /_ a z O � V o Z ; z <br /> ° x <br /> Lab Number: STK 3-17919 0 a o o V N x x <br /> ° <br /> Samp Date Time E f cof 2 x <br /> Location Description oNNum Sampled Sampled a <br /> F- a <br /> I G DW <br /> E +H <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 />