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Special CHAIN OF CUSTODY <br /> P www fgUnc.com <br /> Laboratory Copy (I of 3)' <br /> 35730:02106/2017 TEST JGSC'RIPI ION - Se, R%:"vrse side for Container. Preservative ud Sampling inturmation <br /> Client: Son Joaquin County,EHD <br /> Address: San Joaquin Co.En'&nmental Health Dep <br /> Water Quality Division a ; <br /> Attn:Rodney Estmdx 3 °� <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> u <br /> Phone: (209)468-0331 Fax- x <br /> Contact Person: Rodney Estrada L Q LY <br /> ProjectName: t3-11-0 t0, "L k') rZ1-t O vi rgi m <br /> Purchase Order Number: a <br /> u W <br /> a52 <br /> Quote Number: ST 20160309-01 .g <br /> Samplers) �� ( E m z r °O <br /> —felt. I G tYvv-L l N S;a o <br /> Sampling Fee: Pickup Fee: <br /> u o <br /> _ —— EE aern} zCompositor Setup Date: Time: 0_O �. E <br /> . z uc <br /> D E- <br /> Lab Number: y <br /> STK 3-17919 o <br /> Tamp Date Time c v x b b <br /> Num Locadon Description <br /> n p Sampled Sampled u a c A <br /> -• c�N ii.c: w ii <br /> 1 lv-i.Gl. Zlt> I� �q:5 G DW 1 l.l.l 1� 1lc�l fid!' <br /> Remarks: Relinquished Date: Time: Relin Date: Time: Relinquished Date: Time- <br /> (16D r i Z c 's�I ���� (1ISD C Q <br /> R ived y: Date: Time: Rece' Date: Time: Received Ey: Date: Time: <br /> Comorate 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)7349473 <br /> Env Fax:(805)525-0172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />