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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTUL <br /> -- . , Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 3 a <br /> Arm:Rodney Estrada <br /> 1868 East Hazelton Ave. E <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q Q <br /> Project Name: C7 <br /> Purchase Order Number: <br /> W ¢ 5. 0. <br /> Quote Number: ST 20160309-01 N N <br /> E2 00 <br /> o E� <br /> Sampler(s) o w z O Q <br /> U * a ? O <br /> * o p •C� Q p `,moo W <br /> Sampling Fee: Pickup Fee: <br /> N M y <br /> Compositor Setup Date: / / Time: / E z p = Z O ,�—,Z E <br /> e =� o Gz <br /> Lab Number: STK 3-17919 c ii c — E a a a n <br /> 0 0 ? H x o= = H II <br /> Samp Location Description Date Time a o b M= N v <br /> Num Sampled Sampled F Q o4 w O U O rq <br /> 1 G DW <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 /> ( 12�7�,�i, ifh <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 />