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CI' MM OF CUSTODY <br /> Special www.fgUnc-COM <br /> Laboratory Copy (1 of 3) <br /> li 111�llllll'IIIllllll(IIIII!I�II1IIIII�f�IIIIIIIIII�II SSt 35730:02/06/2017 TEST DESCRIPTION - Se Reverse side for Container, Preservative and Sampli h information <br /> Y <br /> icor: San Jriaquin CQantv E1iD 3 1` ; <br /> Water Quality Division <br /> Attn: Rodney Estrada ~ �_ <br /> x : <br /> 1868 East I lazehun Avc. <br /> Stockton.CA 95205 3 <br /> tone: (209)468-0331 Fax: x <br /> c7 w 3 V) <br /> intact Person: Rodney Estrada � Q Q <br /> oject Name: <br /> rrchase Order Number: <br /> uote Number: ST 20160309-O9-0 1 .o <br /> E o F <br /> impler(s) o <br /> III z T a °O Ca <br /> va N x <br /> ampling Fee: Pickup Fee: c a oro a O c <br /> ompositor Setup Date:_/_/_ Time:_/_ E z p adi z O 5 M E <br /> 7� c z w C] F- <br /> ab Number: STK2,Z,5 3-17919 0 w a v a a y r fl n <br /> 0 0 ° H aO € = Le= H II <br /> tm Date Time o — v = E a E 'a v a <br /> p Location Descriptionrz o o o „ <br /> tum Sampled Sampled : H o a a. ro M O U= U N u.=: ii i2: <br /> I W�[� yid ^7 ZZ /0.�p G DW I 1,1,1 �Z4.75r <br /> remarks: Relinquished Date: Time: Relinquished_ ate: Time: elmq red Date: Time: <br /> _7f <br /> Receiv B ate: Time: Receiv By: ate: Time: Received By: Date: Time: <br /> ab4z-z--' t A1 ' Q</ <br /> b <br /> Cornorate Offices&Laboratory V 0 c&Laboratory Office&Laboratory Office&LaboratoryIffi <br /> Oce&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 Fay,rRngl 7R�-9419 Go„- rrao)7Ze_anAv <br />