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CHAM OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 3) d <br /> 1 , <br /> 01111110 1111111101111 NIB 1111 �` 35730:02106/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information t' <br /> Client: Sao Joaquin County EHD L <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> aai <br /> Phone: (209)468.0331 Fax: r o4 <br /> Contact Person: Rodney Estrada <br /> ,I <br /> Project Name:r \'4%F�\ <br /> Purchase Order Number: <br /> Quote Number: Sr 20160309-01 y <br /> $ n E00 <br /> F o F <br /> Sampler(s) E H a A <br /> a°. wO $ xw <br /> Sampling Fee: Pickup Fee: 9 $� <br /> v o � � a <br /> o o 0 C =Z uZ 0- E <br /> Compositor Setup Date:_!_/_ Time:_/_ E z O �,^-� A <br /> Ggz iz A F <br /> Lab Number: STK or 7 3-17919 0 0 1 o y� a <br /> amp Date Time �s o o cx <br /> Location Description N v u a u <br /> Num Sampled Sampled (• a M m O U w=: u. w <br /> \\4 G DW 1 1,1,1 ' \�t. <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: kelinquged ate: T' e: <br /> Re ed By: Date: Time: Received By: Date: Time ed y: Tune: <br /> Coroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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)5254172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />