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CHAIN OF CUSTODY <br /> ENVIRONMENTAL . , 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 3 <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. IU <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada Q Q <br /> Project Name: v� <br /> Purchase Order Number: U w a ua <br /> Quote Number: ST 20160309-01 ti a <br /> a w G. E oho Ft1- <br /> Sampler(s) o w z T O -a <br /> cnEl cz a O <br /> bD O 'C aM <br /> V] Q O w <br /> Sampling Fee: Pickup Fee: 5 ° v o °r4 a F" <br /> C N M y <br /> Compositor Setup Date: / /_ Time: / E o z p ti =z 'UO v Z E <br /> E °oval o gz i1. Q F- <br /> Lab Number: STK 3-17919 0 ii a U x <br /> oSamp Date Time -5 7; <br /> Location Description 5 <br /> OuNum Sampled Sampled xa <br /> Vcv <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 />