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IN_= CI MN OF CUSTODY <br /> ENVIRONMENTAL . — AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists 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 a <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c <br /> Phone: 6 <br /> 209 4 &-0331 ax: <br /> ( ) F <br /> Contact Person: Rodney Estrada A Q IcIy.. <br /> 4 7 <br /> Project Name: ti y <br /> Purchase Order Number: <br /> w00 <br /> Quote Number: ST 20160309-01 cx <br /> Sampler(s) H1 <br /> z s Q <br /> En <br /> o O ca. 0 <br /> Sampling Fee: Pickup Fee: c °" o a <br /> Compositor Setup Date: / / Time: / E fl zO <br /> --- -- M E .. $ A d <br /> Lab Number: STK 3-17919 o w a u p <br /> Samp Date Time 6 <br /> Num Location Description Sampled Sampled E~ a as co O w v <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br />'R- <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 /> CorRorate Offices&Laborato[y 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 />