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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 a <br /> Atm:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> C7 Lt1 <br /> Contact Person: Rodney Estrada h A d <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y <br /> a w a 8 H 00 F• <br /> Sampler(s) v 00 <br /> N a A <br /> Sampling Fee: Pickup Fee: <br /> o � a•� �� �M z � <br /> Compositor Setup Date: / / Time:—/— 6 a z O a� -z O g y•• E <br /> --- of o Cz w la F <br /> Lab Number: STK 3-17919 0 w ii d.. U a a i a a <br /> d o O F II <br /> amp Date Time o a '� =c c o °x ° u <br /> Location Description ° ° • <br /> Num Sampled Sampled <br /> ii <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Ilk, <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 />