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ME INMENTAL AGRICULTURAL UUM OF CUSTODY <br /> Special www.fgUnc.com <br /> I "- Analytical Chemistss Field Copy (3 of 3) <br /> 3730:02/06/2017 TEST DESCRIPTION - See Reverse side for Con finer,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 <br /> Phone: (209)468-0331 Fax: P4 <br /> c7 w <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: C„ <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a Q x <br /> H E ° <br /> W P. 2 �::) oo A <br /> Sampler(s) U z a a <br /> Sampling Fee: Pickup Fee: a4> o A.ii a' a <br /> Q tr MY <br /> Compositor Setup Date:_/_/_ Time:_/_ E a z O o E <br /> o 5 Z <br /> Lab Number: $TIS 3-17919 o w i?. <br /> b ° H <br /> Samp Date Time 6 �, o '° <br /> n _ <br /> Num Location Description Sam led Sampled G ' ° " ° ° °''^ 2 <br /> � n <br /> P P F� a W 0.1 O U 0 CIA 4. <br /> I 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)7349473 <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 />