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CHMN OF CUSTODY <br /> t, Special www.fgUnc.com <br /> a,. , oratory Copy (1 of 3) <br />' <br /> 35130:62/06/2017 TEST DESCRIPTION - Sec Reverse side tier CoCd�ainer,Preservative and Sampling information <br /> Client: San.loaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> WaterQ Y Division <br /> .� <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: * ^ a <br /> Contact Person: Rodney Estrada Q <br /> Project Name: Cj?� �� �V C7 y N <br /> Purchase Order Number: v Lu ¢ ^ w <br /> Quote Number: ST 20160309-01 <br /> E <br /> Sampler(s) Ew z A <br /> .� <br /> 00 <br /> Sampling Fee: Pickup Fee: E o a o.� <br /> Compositor Setup Date: I I Time: / y z p a ami z O z M E <br /> in E r� U'ag f4 <br /> Lab Number: STK 3-17919 0 0) ii cc <br /> 5amp Date Time -so <br /> o ?� H aO =c=E E <br /> Location Description oow� o CiNum Sampled Sampled 2 m O U- 0 c <br /> II <br /> b <br /> iz,-.r ii. Y. <br /> 1 J(l•���j� G DW 1 1,1,1IX <br /> Remarks: Relinquishe Date: Time: Relinquishe D te: Time: Relinquished Date: Time: <br /> ` - 5 ZZ I�� s/s zz Ixx Fix <br /> o�� <br /> Received �ate/f Time: Rece' ed B te: Time: Received By: Date: Time: <br /> I- 2L 5/4 <br /> 1 ,501 <br /> 1IDD I C,19/-� 'I/ J.)---j <br /> Coroorate 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)7348435 <br />