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=_= CHMN OF CUSTODY <br /> ENVIWNMENTAU�-- -- AGMULTURAL Special www.fgUinc.com <br /> Analytical Chemists Customer Copy (2 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 /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: °4 <br />_ <br /> Contact Person: Rodney Estrada A ¢ 2 <br /> Project Name: <br /> Purchase Order Number. > a <br /> Quote Number: ST 20160309-01 Y y QCIO <br /> Sampler(s) ril z T <br /> 0 <br /> Sampling Fee: Pickup Fee: c °' a <br /> a <br /> Compositor Setup Date:_/_/_ Ti e:_/ E a, z O a a <br /> E ii A <br /> Lab Number: STIP 3-17919 o a c d p <br /> Samp Date Time E ; 0 'b aQ.31 <br /> Num Location Description Sampled Sampled E~ a° oa w O w <br /> 0 Travel Blank G LBW f <br /> G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Y <br /> Received B3 : Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> it <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 />