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--= CHAIN OF CUSTODY <br /> -` 2 Special www.,fgUnc.com <br /> ENVIRONMENTAL-- AGRICULTURAL <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35731:02/06/2017 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 a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 $ c <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A ¢ 2 <br /> Project Name: i .'r r :,,, o Cn ('0 <br /> Purchase Order Number: 3 <br /> d w < a <br /> Quote Number: ST 20160309-01 N x <br /> Sampler(s) o vwi z >. O <br /> o p ga <br /> Sampling Fee: Pickup Fee: o a. <br /> r; <br /> 5 U <br /> Compositor Setup Date: / /_ Time:_/_ E z O a a ao <br /> @ e q <br /> 0 <br /> Lab Number: STK 3-17919 0 C% a a)� O <br /> 0 o n F' �� <br /> Samp Date Time <br /> Location Description OJ <br /> a o M a o <br /> Num Sampled Sampled � F. a oa as O w 4 <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW i <br /> Remarks: Relinquished Date: Time: Relinquished Uate: Time: Relinquished Date: I'imc: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 />