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- = CHAIN OF CUSTODY <br /> Special www.fgunc.com <br /> Field,Copy (3 6f 3) <br /> II IIIIIIIIIII IIIII IIIIIIIIIIIIIIIIIIIIIII <br /> 35731:02/06/2017 TEST DESCRIPTION - See Reverse side for Container.Preservative and Sampling information <br /> Client: Pn Joaquin County EHD 3 <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 w <br /> Attn:Rodney Estrada i ?; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: <br /> ao � <br /> Contact Person: Rodney Estrada Q S <br /> Project Name: } C7 vwi Cd <br /> Purchase Order Number: U w 3 <br /> w Q a <br /> Quote Number: ST 20160309-01 N x <br /> K <br /> Sampler(s) 0 z T tD <br /> U <br /> Sampling Fee: Pickup Fee: 5 e a <br /> c <br /> Compositor Setup Date: / /— Time:—/— E o z O d a <br /> o A <br /> Lab Number: STK 3-17919 0 CA a_ o v d O <br /> Samp Date Time <br /> Location Description a o a 6 a 0 <br /> Num Sampled Sampled � E., a 0.1 a1 0 w v <br /> 0 Travel Blank G LBW 4. <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received 13y: 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 />