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- -= CHAIN OF CUSTODY <br /> Special www.,fgUnc.com 1. <br /> Analytical Chemists <br /> Field Copy (3 of 3) <br /> s <br /> 111111111 MIIIIII 111111111-111111111111 <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 a <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A ¢ 2I <br /> Project Name: vWi von <br /> Purchase Order Number: U w ui <br /> w x a <br /> Quote Number: ST 20160309-01 o x c <br /> oo A <br /> Sampler(s) U h z '' 0 °" O <br /> `a <br /> o p ca ¢_M <br /> Sampling Fee: Pickup Fee: N� a <br /> n' _y O 7 U N cd cd M 'd�-+ y E <br /> Compositor Setup Date: /_/_ Time:_/_ z O Wo z c z LL A F <br /> Lab Number: STK 3-17919 0 CISa �' U x kn <br /> 0 <br /> do H <br /> Samp Date Time a v .v <br /> Location Description rg o <br /> Num Sampled Sampled u m <br /> d d <br /> O U <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 /> 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 />