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- -= CHMN OF CUSTODY <br /> -AGRICULTURAL Special www.fgUnc.com <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 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: W �' <br /> Contact Person: Rodney Estrada A <br /> Project Name: vo, <br /> Purchase Order Number: U w a <br /> Quote Number: ST 20160309-01 owG ¢ <br /> Sampler(s) o w a a O <br /> U <br /> eu O <br /> Sampling Fee: Pickup Fee: <br /> 0 o Z a <br /> C <br /> Compositor Setup Date:_/_/_ Time: / E p z O x c <br /> E A <br /> Lab Number: STK 3-17919 b ro a T w o p <br /> 0 o <br /> Samp Date Time -Za U 'u � Q c <br /> ONum Location Description Sampled Sampled <br /> 0 Travel Blank G LBW 4, <br /> l 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: 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 />