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_-__ CHAIN OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> �i 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD 1 <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. $ <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada ¢ a <br /> Project Name: C7 ti <br /> Purchase Order Number: 3 a <br /> Quote Number: ST 20160309-01 o a c F. <br /> F � <br /> Sampler(s) o z p A <br /> O <br /> x <br /> Sampling Fee: Pickup Fee: [ °" 0 r.4) <br /> c <br /> a u� o a''ci ami cn d y ai <br /> Compositor Setup Date:_/_/_ Time:_/_ m �; z O n z z <br /> o:. 5 <br /> Lab Number: STK 3-17919 o N .. U x <br /> ii a o <br /> b o ff <br /> Samp Location Description Date Time o 'i o C tn 2 <br /> Num Sampled Sampled F p, pq M O U-- C7 c� ti._: u. w <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: "rime: 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 />