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CHAIN OF CUSTODY <br /> x ONMENTAL <br /> --= AGRICULTURAL Special www.fgUnc.com <br /> ENVIAnalytical Chemists a3 Field Copy (3 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD l <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division :a <br /> Attn:Rodney Estrada °a1 <br /> 1868 East Hazelton Ave. 3u <br /> Stockton,CA 95205 cl <br /> iu <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada 5, <br /> 4 <br /> Project Name: w) vo) <br /> Purchase Order Number: U x <br /> Q p: <br /> Quote Number: ST 20160309-01 N �a <br /> Sampler(s) W4 z T <br /> 'U <br /> o p 9a <br /> Sampling Fee: Pickup Fee: S `3 oro a0 <br /> a ° <br /> Compositor Setup Date:_/_/_ Time:_/_ E — z O a a <br /> 10 8 2`� AQ <br /> Lab Number: STK 3-17919 0 a c CdO <br /> 0 0 vE~ 0° o 0 <br /> Samp Date Time IS c '� 'U d <br /> Num Location Description Sampled Sampled ra O w a <br /> 0 Travel Blank G LBW - <br /> 1 G DW 4 <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 />