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1 <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURALSpecial +' r www.fgUnc.com,i <br /> Analytical Ch4-mists Laboratory Cony (1 of 3) <br /> 1 <br /> IIIIIIlil11111111111111111111111111111111111111pllllllillll 35730:02/06/2017 TEST DESCRIPTION - See Revetse side for Container,Preservative and Sampling information v' ' <br /> 'tient: San Joaquin County EHD <br /> \ddress: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division @ � b t <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. a <br /> Stockton,CA 95205 3 <br /> c. <br /> 'hone: (209)468-0331 Fax: <br /> -ontact Person: Rodney Estrada <br /> 'roject Name: 18qrt <br /> �.,0�, �✓� CIO W <br /> 'urchase Order Number: <br /> ?note Number: ST 20160309-01 c Q <br /> aEi <br /> iampler(s) <br /> Sampling Fee: Pickup Fee: c a� c.a <br /> -ompositor Setup Date: I I Time: I E a Z p n" _'Z p z <br /> �, V <br /> O <br /> :.,ab Number: STK 3-17919 Ca a >* o O <br /> amp Date Time •5 a, � x °o o x <br /> Location Description a� E b <br /> Num p Sampled Sampled 2 E~ a Ao as O U= c0 N w°' w w <br /> G DW 1 1,1,1 <br /> remarks: Relinquished Date: Time: Reli i d Date: Time: Relinquished Date: Time: <br /> Received DateA:_ ;74 Rece' ed B Date: Time: Received By:6f— Date: Time: <br /> I J 15 �f r�i )-1� <br /> t! V ✓ !%'(/ 1. cl))q'Cor <br /> norate 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)5254172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />