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CfWN OF CUSTODY <br /> Special �: www:fglfnc.com <br /> :�a :�. <br /> Analytical Ch(-,mists <br /> Loratory Copy l l of 3) is <br /> 11111111111111111111111111111111111i111111111111111111 35730d*40/06/2017 TEST DESCRIPTION - See Reverse side I'or Contai n,Preservative and Sampling informfition <br /> 'liens: San Joaquin County EiHD <br /> kddress: San Joaquin Co.Environmental Health Dep p <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 : 3 p n <br /> * e AG <br /> 'hone: (209)468-0331 Fax: <br /> :ontact Person: Rodney EstradaPR <br /> 'rojeet Name:�'\.5b�„ ���,Zs J�✓ c� a <br /> 'urchase Order Number: �� v w tw <br /> Ln ^ <br /> y w ¢ x <br /> 2uote Number: ST 20160309-01 rx N <br /> w a opo' q <br /> 5ampler(s) c ZL <br /> ti O <br /> U Cs 0 <br /> iampling Fee: Pickup Fee: ' o _ a <br /> compositor Setup Date: 1 I Time: I & Z O =Z O w Z E <br /> g Z u., A E- <br /> Lab Number: STK .[�8 3-17919 o y a °��• V a a a c. <br /> 0 0 w F xo = L= u , <br /> amp Location Description Date Time °ZiT', o '5 c N 0� °�a. <br /> Num Sampled Sampled 2 H a as co O v O N iw�; is. iw <br /> G DW <br /> temarks: Relin ed v � <br /> / te: Time: R ished Date: Time: i Vate:ry Time: <br /> tv <br /> /fo; 1-706 <br /> cet By: Date: Time: Received By: D te: Time: RMeived By: Date: ime: <br /> D <br /> Cortaorate 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 /> ll Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> 11' Env Fax:(805)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />