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CHAIN OF CUSTODY <br /> ENVIRONMENTAL _-; AGRICULTURAL Special www.fgUnc.com <br /> Analytical 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 3 a <br /> Atm: Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q S <br /> a o: <br /> Project Name: <br /> Purchase Order Number: cn <br /> V w 3 <br /> ou a W <br /> Quote Number: ST 20160309-01oc <br /> a w a <br /> Sampler(s) E V4 z T a O <br /> a O <br /> x <br /> Sampling Fee: Pickup Fee: 5 ° y o a'� ¢ <br /> c <br /> M C; v Z E <br /> Compositor Setup Date: / / Time: ! z O c o z C z w q F <br /> 0 <br /> Lab Number: STK 3-17919 o a a a <br /> b o F R:O I ? H II <br /> Samp Location Description Date Time � a o Q Q r 6 <br /> Num Sampled Sampled F. a co ra O U <br /> 1 G DW j j 1 1,1.1 <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 />