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- -= CHAIN OF CUSTODY <br /> rNVIRONMENTAL 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 3 a <br /> Attn:Rodney Estrada U <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q Q 2 <br /> Project Name: C N <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E o E^ <br /> Sampler(s) E w z °O Ca <br /> o cn > O a a <br /> O O Ea QO w <br /> Sampling Fee: Pickup Fee: 'p v' <br /> a 0 a c40 C4 <br /> x t— <br /> Compositor Setup Date: / / Time: / E a z O °' = z O 0 z E <br /> cn E °vai o g zE- <br /> 0 <br /> Lab Number: STK 3-17919 0 Un i% a + U N= x x <br /> Samp Location Description Date Time o o o o o n b b <br /> Num Sampled Sampled <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 />