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CRAM OF CUSTODY <br /> ENVIkONMENTAI, AC�RICLJ 1,711-1 RAI, <br /> Special f www.fgUne.eom ` <br /> Analytical Chcmist-s Laboratory Copy (1 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION See Reycrse'side for Container.Preservative and Sampling information <br /> :Tient: San Joaquin County EHD �? <br /> Address: San Joaquin Co. Environmental Health llep � <br /> Water Quality Division .a 6 <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. Z <br /> Stockton,CA 95205 .� <br /> a <br /> Phone: (209)468-0331 Fax: w a <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: U a w <br /> Quote Number: ST 20160309-01 Q <br /> •y v, � <br /> Sampler(s) UEn ]O a A <br /> * o p cry Qp <br /> Sampling Fee: Pickup Fee: a a p' a a <br /> Compositor Setup Date: 1 I Time: / E Q, z p a �'z O c <br /> ri E a c x p., A EH <br /> Lab Number: STK 3-17919 b W 0. a w ¢ v. <br /> )amp Date Time -s ' 0 E <br /> ° cLocation Description <br /> �°' ''NNum Sampled Sampled H M O U O V. <br /> is. <br /> G DW 1 1,1,1 , 2 <br /> 2emarks: Relinquished Date: -^ ,Time: Relinqui ed D te: Time: Relinquished Date: Time: <br /> �� 5 zZ 1 ag <br /> Received By: D te: Time: Receive By: ate: Ti Received By: Date: Time: <br /> Corporate Offices&Laboratorg 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 />