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CtWN OF CUSTODY <br /> ENVIRONMENTAL --' Special www.fgUnc.com <br /> - Analytical Chemists Field Copy (3 of 3) <br /> 111111111111111111111 IN IN� 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 p; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada ro Q a <br /> Project Name: OCX <br /> � a <br /> Purchase Order Number: C4 —' <br /> Quote Number: ST 20160309-01 'N <br /> Sampler(s) o vi wZ T O A <br /> O <br /> o O W <br /> Sampling Fee: Pickup Fee: E ; c °'C4 a <br /> ami is 0 o z y E <br /> Compositor Setup Date:_/ / Time:_/_ a z O a z O ;,., E <br /> w E ci $i h <br /> d U 5'Z.L' <br /> Lab Number: STK 3-17919 w T <br /> Samp Date Time -9 E 'O x b b <br /> Num Location Description led Sam Sampled ' ° d `" ° <br /> P P F- a m at O U 0 <br /> 1 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)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 />