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Special CI-IN OF CUSTODY <br /> . - - . , P 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 <br /> Attn:Rodney Estrada e; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> aai <br /> Phone: (209)468-0331 Fax: w a <br /> Contact Person: Rodney Estrada A <br /> Project Name: �Cj S Clef Flo t1 rwi, rn° <br /> Purchase Order Number: �pr� Cb, Rt <br /> Quote Number: ST 20160309-01 <br /> E o F <br /> Samplers) �( o V) z O A <br /> Sampling Fee: Pickup Fee: lu <br /> Compositor Setup Date:_/ /_ Time:_/_ z p c o z z w A H <br /> Lab Number: STK 3-17919 0 ii a Vgo pC V <br /> a a <br /> d 0 <br /> Samp Date Time c CD <br /> .2 x b 'D <br /> Num Location Description Sam led Sampled °' ' o o�" a <br /> P P F a a1 GG O U C7 c� is,-: w w <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> !. 131 iv12 115 <br /> Received By: Date: Time: 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 />