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CHAIN OF CUSTODY <br /> 1061 Special www.fgUnc.com <br /> AnolYtical Laboratory Copy (I of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling info] tion <br /> Client: San Joaquin County FHD ( ¢ <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada y <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> v <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada A ¢ 2 <br /> a <br /> Project Name: Z�gC.) � 41 c7 vwi v°i <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> w <br /> SamplerE Zs) ° Z T O <br /> u * v N <br /> a evl�, s C o lfmz+a .5 a <br /> o O a <br /> Sampling Fee: Pickup Fee: S °' y'o; aa.. <br /> n. c _ <br /> Compositor Setup Date:_/_!_ Time:_/_ a z O � � m <br /> rn E o A <br /> Lab Number: STI{ 0j 3-17919 o N a a v p <br /> o ° 2 <br /> Samp Date Time v c - a, <br /> aLocation Description A c <br /> Num Sampled Sampled 2 E. a M m 0 w v <br /> 0 Travel Blank 6l h a rG LBW /y <br /> I AA/ ! ti b1 Z i G DW 4 <br /> —Rema .nqune: <br /> ,� �fj 21 I�� (_604) �w <br /> Received By: Date: Time: Re ate: Time: Received By: Date: Time: <br /> (oil Upz A0 1U) <br /> X 101 <br /> Corporate Offices&Laboratory Office&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 /> Fav Fav•(An5)525-4172/An Fav-(A051 392-2083 Fax•(2091942-0423 Fax-(530)343-3807 Fax:(805)783-2912 Fax:(5591734-8435 <br />