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E-- CHMN OF CUSTODY <br /> - Special www.fgUnc.com <br /> ENVIRONMENTAL — AGRICULTURALAnalytical Chemists Field Copy (3 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 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 fl <br /> Phone: (209)468-0331 Fax: <br /> � w 3 <br /> Contact Person: Rodney Estrada Q Q pF <br /> Project Name: v: <br /> Purchase Order Number: <br /> W Q p <br /> Quote Number: ST 20160309-01 0 £ o <br /> n W a 2 Z) °O Q <br /> Sampler(s) o Z T O a t <br /> U * v x <br /> o <br /> Sampling Fee: Pickup Fee: E ° V =1�' a x H <br /> o h a <br /> d O L 04 <br /> Compositor Setup Date:_/_/ Time: E z O E <br /> c •o z c z w Ca <br /> g x <br /> Lab Number: STK 3-17919 0 i a U ti= x x <br /> Ea a c a <br /> o w H xO 0 o = F II <br /> Samp Date Time -S fl _ =o lu o ,��,o 2 2 <br /> Location Description Sam ' O ° d L 6 <br /> Num led Sampled m O U <br /> P P � E- a m -- U ry <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 />