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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists C ustomer 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 /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada q A Q <br /> Project Name: \, to � S�w�wl/ w ? o <br /> Purchase Order Number: C 7 G n [SZ V ua <br /> Quote Number: ST 20160309-01 a 6 P 0 <br /> Sampler(s) o w Z >, O O A <br /> +r 2 rn v, <br /> cif U O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time:_/ zp x n a z O zco <br /> �n E c 0_- 9 Z <br /> Lab Number: STK �, - 3-17919 o w a, U a a ;-� a o <br /> Samp Date Time o '� c o b x � 'd <br /> Location Description Sam tied Sampled " ' d `d N °'W) <br /> Num <br /> 1 <br /> ,� <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> t-✓-r � i i; i'1�J <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 />