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`- - Special CxAirl OF CUSTODY <br /> ENVIRONMENTAL . , P www 1gUnc.com <br /> Analytical Chemists <br /> t Laboratory Copy (1 of 3) <br /> 4r <br /> 1111111111111111111111111111111111111 IN <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> i'lient: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> _ v <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada 1I11N r Q Q <br /> Project Name: n �(��Pp `�V <br /> Purchase Order Number: <br /> CAGI ?)\o\o � w ¢ x <br /> Quote Number: ST 20160309-01 N <br /> E E• <br /> Sampler(s) E w z ti Q <br /> V * a? to 0 O <br /> Sampling Fee: Pickup Fee: c <br /> Compositor Setup Date: / / Time: / E a z° p a i °' b i O a Z E <br /> -z ^ ~ <br /> E ovGi o „ �z <br /> Lab Number: STK 3-17919 o w a T v a a a n <br /> 0 0 F, aO E , F II <br /> Samp Date Time -E E v E v x v o <br /> Location Description Sam V 0. o 1a o o v o <br /> Num P P led Sampled <br /> E- a m m O <br /> L\ \j G DW 1 1,1,'1 'T <br /> Remarks: Relinquished Date: Timi�e:r1 Relinquished �;Y(z4 <br /> ate: /IrT1iim1/e: R ued ate: Time: <br /> V 1 VVV <br /> Received By: Date: Time: Received By: ate: Time: Rec i e y: Date: ime: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&LaboratoryLaboraULry <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Driv uite 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 />