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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 y a <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 <br /> a. <br /> ° <br /> Phone: (209)468-0331 Fax: w 3 <br /> C7 <br /> Contact Person: Rodney Estrada Q Q <br /> a � <br /> Project Name: rA <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> 00 <br /> Sampler(s) o Z T Q <br /> U * R 0 <br /> '=� d O `° W <br /> Sampling Fee: Pickup Fee: <br /> o. y lu <br /> Compositor Setup Date: /_/ Time: / Z O o Z c Q F <br /> ° x <br /> Lab Number: STK 3-17919 o w a a OE a slu = n o <br /> a o v <br /> Samp o Location Description Dale Time 'ro o N c v <br /> Num Sampled Sampled F. 0 m m O U <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: 'rime: 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 />