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CHAIN OF CUSTODY <br />Special www.fgUnc.com <br />Customer Copy (2 of 3) <br />Corporate Offices &Laboratory Office & Laboratory Office 8 Laboratory <br />35730:02/06/2017 <br />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 <br />:a <br />Arm: Rodney Estrada <br />A4 <br />1868 East Hazelton Ave. <br />Stockton, CA 95205co <br />o. <br />Phone: (209)468-0331 Fax: <br />w <br />3 <br />c? <br />Contact Person: Rodney Estrada <br />A <br />Q <br />a <br />Project Name: <br />Cd <br />Con <br />Purchase Order Number: <br />U <br />wCOOua <br />Quote Number: ST 20160309-01 <br />w <br />a <br />Eo <br />&� <br />°O <br />H <br />Sampler(s) <br />v <br />Z <br />& <br />Q <br />U <br />T <br />O <br />.a <br />Q MO <br />Sampling Fee: Pickup Fee: <br />an <br />O <br />W <br />O <br />Z <br />Compositor Setup Date: / / Time: / <br />a <br />z <br />O <br />= ° <br />° <br />o� <br />oz <br />G <br />w <br />Q <br />H <br />Lab Number: STK 347919 <br />0 <br />w <br />a <br />U w <br />x <br />N kn <br />x <br />x <br />7St° <br />o <br />o <br />~ x <br />° <br />b <br />Samp <br />Date <br />Time <br />Location Description <br />v <br />° <br />°' <br />a' <br />Num <br />Sampled <br />P <br />Sam led <br />P <br />E~ <br />° <br />a <br />m <br />as O <br />N <br />y r <br />"' <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />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 />