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- - CHAIN OF CUSTODY <br /> . ,NMENTAL - Special www.fgUnc.com <br /> ENVIAGRICULTURAL <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 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 a <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: w 3 <br /> Contact Person: Rodney Estrada Q Q <br /> Project Name: V) <br /> Purchase Order Number: U w 3 <br /> :'Fir w ¢ x <br /> Quote Number: ST 20160309-01 x _ <br /> EEi F' <br /> Sampler(s) o vWi z > O <br /> U * a <br /> o O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: 1 / Time: ! z O n <br /> E Co CJ <br /> Lab Number: STK 3-17919 0 &2' ii a. p <br /> 0 o ' F. o <br /> lamp Date Time <br /> Num Location Description Sampled Sampled E~ a° m rA O w <br /> 0 Travel Blank G LBW 4 <br /> 1 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 /> I <br />