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CHAIN OF CUSTODY <br /> ENVIRONMENTAL — • . Special <br /> www.fgUnc.com <br /> Analytical Chernists 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 .j <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> w 3 N <br /> Contact Person: Rodney Estrada c O Q 2 a <br /> W o a <br /> Project Name: C7 <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E <br /> Sampler(s) o V) z > O <br /> a 0" c <br /> Sampling Fee: Pickup Fee: <br /> a „ o s w V <br /> Compositor Setup Date: / / Time: / E G, z O <br /> n E Co C? <br /> Lab Number: STK 3-17919 0 ii a roCD <br /> O <br /> 0 0 <br /> Samp Date Time ; d <br /> Num Location Description Sampled Sampled a w CO <br /> W O w <br /> 0 Travel Blank G LBW 4 <br /> 1 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 /> Comorate 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 />