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- -_ CHMN OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL- Special www.fgUnc.com <br /> Analytical Chernists 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 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: C x <br /> c? w 3 `4 <br /> Contact Person: Rodney Estrada Q d a <br /> Project Name: ww0`1 Q 3 v) a <br /> Purchase Order Number: \1-0 t� (L v w ,p 6 <br /> W <br /> Quote Number: ST 20160309-01 N <br /> Eo o U <br /> Sampler(s) c r.� (� c z > p Q <br /> U * L P4 a O <br /> o p ca Q- x <br /> Sampling Fee: Pickup Fee: c ? 5 a N x H <br /> C O R 1r NM fl'Z N <br /> Compositor Setup Date: / / Time:_/ E fl z O r o °'Z v O v z <br /> ° Cd E <br /> o c u Q F- <br /> Lab Number: STK 3-17919 0 a a U x <br /> 0 0 F- rx o= <br /> Samp Location Description Date Time n o o N c ¢ <br /> Num Sampled Sampled E a co ca O U <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> . -_._ �- ��✓ �KI��!a IIS`. <br /> Receive 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 />