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CHAIN OF CUSTODY <br /> AGRICULTURAL ENVIRONMENTAL <br /> Special www4glinc.com <br /> Laboratory Copy (1 of 3) 4� <br /> � b <br /> c <br /> 35730:02/0612017 TEST DESCRIPTION -`.See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD _ 4 <br /> .c <br /> Address: San Joaquin Co.Environmental.Health Dep <br /> Water Quality Division 2 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. ` <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: W can, x <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 0 ¢ y N <br /> Sampler(s) {� z y <br /> c ca Q� 0 W <br /> Sampling Fee: Pickup Fee: _ o a'vNi a. <br /> Compositor Setup Date: / / Time: / E == z p i4 z O z <br /> v� a to e z c z <br /> Lab Number: STK 3-17919 o w ii = 9 U a 2'. <br /> �, a <br /> 'b o 2 H f�4 •• — H ll <br /> iam Date Time -° '� = E E b M 2 <br /> Num kation Description Sam !ed Sampled " ° °� a c "x '� <br /> P P H a as ca o U O <br /> 1 '�~ G DW <br /> L-- J <br /> Remarks: linquish D Time: Relin 's d Date: Time: Relinquished Date: Time: <br /> aQ '7 t66 <br /> 14�2 <br /> ived By: Date: Time: Recei B /f Dale: Time: R ived By: Date: Time: <br /> CC rR rate Offices&Laboratory Office&Laboratory Office&Labo aOffice&Laboratory <br /> 853 Corporation Street 250�Stag�ecoachtoad 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 />