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AMNI CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> e <br /> 357-"b:02/06/2017 TEST DESCRIPTION - See Reverse side for Cont*iner,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> .Y <br /> Address: San Joaquin Co.Environmental Health Dep `. <br /> Water Quality Division f ,� <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. cc ca <br /> ` <br /> Stockton,CA 95205 3 .; <br /> c,. <br /> Phone: (209)468-0331 Fax: <br /> C7 w 3 a <br /> Contact Person: Rodney Estrada ¢ P t <br /> Project Name: <br /> 3Dq <br /> Purchase Order Number: P O'��Z U_ w 3 �, —• <br /> Quote Number: ST 20160309-01 ¢ 1 a N <br /> Sampler(s) c w z O) - <br /> °O A <br /> Sampling Fee: Pickup Fee: a O .O ` a <br /> Compositor Setup Date: - / I Time: I z p a _' R Z B z � � <br /> M E <br /> va E � V �x iE A H <br /> tn <br /> Lab Number: STK 3-17919 4. °��'. 9000 a <br /> 0 o H a. 0 _ <br /> lamp Location Description Date Time a c " -= 'w <br /> o N u 0 a. <br /> Num Sampled Sampled E., a m w 0 U00 <br /> 1 W�.�- .� G DW 1 1,1,1 <br /> temarks: Relinquished Date: Time: Relinquished ate: Time: Relinquished Date: Time: <br /> OV <br /> Received B D te: Time: Receiv By- Date: Time: Received By: Date: Time: <br /> I � <br /> Corporate Offices&Laboratory_ Office&Laboratory Office 8 Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 1� 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 />