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CHAIN OF CUSTODY <br /> . . — 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 3 a <br /> Attn:Rodney Estrada u; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> c? w 3 <br /> Contact Person:1Rodney•Estrada� <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o a ¢ <br /> a W G ayi aoo A <br /> Sampler(s) 0 Z T O .a <br /> U ? O <br /> x <br /> Sampling Fee: Pickup Fee: <br /> a a o G 0''8 ai� s`n dz y d <br /> Compositor Setup Date:_/_/ Time:_/_ z O a p o z z =' O <br /> 0 <br /> Lab Number: STK_ 3-17919 ca U <br /> d o ^� F a O t o ;; H II c a <br /> Samp Date Time a '� lu ^ <br /> Location Description o "c c v_2 <br /> Sampled Num Sam led w O U <br /> 0 <br /> 1 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 /> 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 />