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CHM OF CUSTODY <br /> 'ENVIRONMENTAL ACiRICULTURAL , Special 4 www.Mifne.eom <br /> Laboratliyyj Copy.(1 of 3) <br /> 35730:02/06/2017' TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br /> �lient -San Joaquin County EHD <br /> kddrs: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division fig <br /> Attn: Rodney Estrada 3„ W ; <br /> v � ! <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> ?hone: (209)468-0331 Fax: W a4 <br /> �ontact Person: Rodney Estrada Q ^ <br /> ?roject Name: O <br /> ?urchase Order Number: n Q a <br /> 2uote Number: ST 20160309-01 �ti �`t _1�� ` a <br /> N <br /> Sampler(s) Q' ^ o <br /> W CZ" «: 00 <br /> ti 0 00 <br /> i A <br /> 5,Q (%'�" +2 a0 �� <br /> Sampling Fee: Pickup Fee: 0o, o <br /> a ° r� as <br /> Compositor Setup Date: / / Time: / z 0 °4 °'z O a z <br /> Lab Number: STK 3 `- " 0 v c x w A <br /> 3-17919 w aa, Q O <br /> ° o Cd Ey II <br /> 'amp Date Time .6 �° iu w.°, E E <br /> Num Location Description Sampled Sampled °' 0 � °N a n <br /> P,,I pl F a» m Mo v 0 r4 <br /> 1 I k�?14 Lt R J,0 G DW <br /> I t <br /> temarks: Relinquished Date: Time: Relinquished ate: Time: Relinquished Date: Time: <br /> %J- JL q yti ti 9 <br /> Receivedy: Date: Time: Received Date: Time: Received By: Date: T'me: <br /> z tiZ 2'I <br /> 41t#' 4i 0 <br /> Cgraorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laborato Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Dri ,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo, A 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 />