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- -= CHMN OF CUSTODY <br /> • . Special www.fgUnc.com Customer 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 3 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada O O <br /> Project Name: <br /> Purchase Order Number: �SIAiO^ 0" U w 3 <br /> w Q x a <br /> Quote Number: ST 20160309-01 _ x _ N <br /> E <br /> Sampler(s) o Z T �O a Q <br /> u * L� V) N x <br /> o p 5a Q� <br /> Sampling Fee: Pickup Fee: <br /> C <br /> 0-7, <br /> Compositor Setup Date: / / Time: / E a z O a -z �� —6 z � E <br /> E o o c ZF- <br /> Lab Number: STK 3-17919 a <br /> 0 w ii a v n a fl <br /> d ° = F- a O co <br /> Samp Date Time ¢ =o o 2 <br /> Location Description Sampled Sampled " U° <br /> Num <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> , 61 ids( <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 />