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CHAIN OF CUSTODY <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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: w a <br /> Contact Person: Rodney Estrada A d <br /> Project Name: ve, <br /> Purchase Order Number: U w in GU <br /> Quote Number: ST 20160309-01 w x a <br /> N a Q o F <br /> Sampler(s) i~ w z N F 00 <br /> U a(In y rn w a0 <br /> 0 x <br /> Sampling Fee: Pickup Fee: <br /> IS O <br /> Compositor Setup Date: / / Time: / E :a z p a4 z O z <br /> -- -- c3� o� c u A F <br /> Lab Number: STIP 3-17919 o h a, <br /> a a oa = cSamp Date Time '^ 2 x <br /> Location Description 'noUNum Sampled Sampled o MM O U� 0 a <br /> N <br /> 1 ? G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received 13N: Date: 1'ime: 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 />