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-_-- CHAIN OF CUSTODY <br /> ENVIRONMENTAL -- AGFUCULTUML <br /> 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 w <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 g <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: w h x <br /> Contact Person: Rodney Estrada A <br /> V <br /> w Y o <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o x N <br /> a w a 00 A <br /> Sampler(s) o vwi Z <br /> U * .2 a p, x <br /> Sampling Fee: Pickup Fee: 5 „ e eq <br /> vN� fl O <br /> 4 O 15 ai'U N cy iV M •b <br /> Compositor Setup Date:_/_/_ Time:_/ c£ z O M. Z d z w q H <br /> o <br /> Lab Number: STK $ <br /> 3-17919 0 ii P v <br /> 0 <br /> lamp Date Ti <br /> o N d oda loLocation Description o <br /> Num Sampled Sampled W' <br /> O <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> i <br /> i <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 />