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CHAIN OF CUSTODY <br /> aE Special www.fgUnc.com <br /> ^NMENTAL AGRICULTURAL <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> ji <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San�.Foaquin County EHD + <br /> a <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> C7 w 3� N _ <br /> Contact Person: Rodney Estrada`` Q <br /> Project Name: <br /> Purchase Order Number: U w a ua <br /> Quote Number: ST 20160309-01' w ¢ <br /> �h o �" E o F <br /> Sampler(s) 0.o vWi z > O 0 <br /> o <br /> Sampling Fee: Pickup Fee: c o R a o <br /> Compositor Setup Date: / /_ Time: / E & z p a a"i °�N° O °z E <br /> o a oz r <br /> Lab Number: STK �/ �� r 3-17919 0 Cn 5 n. <br /> Samp Date Time E Q � E '0 x b <br /> Num Location Description led Sam Sampled ' ro D <br /> P P F• a co w 0 U <br /> G DW 1 1,1,1 <br /> Remarks: Relinquished Date: Time: R ished ate: Time: glus d DA, me: <br /> 5 ��) 17od J <br /> ceive y: Date: Time: Received By: Date: Time: pe 'ved y: te: me: <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 />