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- -= CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> - , .ENVIRONMENTAL AGFUCULTURAL <br /> Analytical Chemists Field Copy (3 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> �p y -1 .- M c7 w o <br /> Project Name: - rn � <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N a <br /> Sampler(s) o z T O <br /> v * =' x T <br /> o p 5w <br /> Sampling Fee: Pickup Fee: c t' <br /> C <br /> Compositor Setup Date: /_/_ Time:_/_ E —°'� z p �' a <br /> E o� q <br /> Lab Number: STK 3-17919 0 5K -M '. <br /> �O <br /> Samp Date Time •S Ok 72 <br /> Num Location Description Sampled Sampled F a° 00 oC O w <br /> 0 Travel Blank G LBW ,4- <br /> I 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: Dare: 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 />