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- _= CHAIN OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL Special www.fgUnc.COM <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County E11D <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodpey Estrada Q a <br /> Project Name: co <br /> Purchase Order Number: <br /> d >- a A, <br /> Quote Number: ST 20160309-01 a F. <br /> 00 <br /> Samplers) U C a <br /> x <br /> Sampling Fee: Pickup Fee: <br /> G1 y o 'v a_i as`" b z <br /> Compositor Setup Date:_/_/_ Time:_/ z O a o z z w Q F <br /> v a. <br /> Lab Number: STK 3-17919 0 a " x N= x x <br /> o a� �' ^`- Fes- II n. <br /> 0 <br /> Samp Date Time o i~of v z <br /> Num Location Description A.Sampled led Sam ' O <br /> Sampled p H m oa U-- c7 c-4 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Dais: Lime: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: I unc: <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 />