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CHAIN OF CUSTODY <br /> Special www.fgunc.com <br /> 3n .; Laboratory Cc>py (1 of 3) <br /> 35730:02/06/2017 0; TEST DESCRIPTION - See Reverse side 4Hr Container,Preservaiiv'Knd Sampiing information <br /> Cliennt:Sa in Couti4y EHD <br /> W to <br /> At i Quality Division 3 I• i <br /> Rodney Estrada x <br /> 18 S.East Hazelton Ave.•`. <br /> St kton, CA 95205 3 =° <br /> t n t v 1 <br /> Phone: (209)468-0331 Fax: w a <br /> Contact Person: RodneyEstrada <br /> v _ A : e <br /> Project Name: Z Z519 L � a?,�e r° <br /> Purchase Order Number: U win ua <br /> Quote Number: SC 20160309-01 a ¢ N x a <br /> o <br /> p �f,,L j W G. � 00 <br /> Sampler(s) JAL S3�ov,k /i l�•fLAP.I t° ; � 0 a O <br /> o <br /> Sampling Fee: Pickup Fee: F- <br /> e a`) 0-,-, '= <br /> Compositor Setup Date: l I Time: I E a z 00 a v —' O Z <br /> -- VA E o� w <br /> 0 cx Q F <br /> Lab Number: STK p� D 3-17919 0 � a v•• E cc n o n <br /> 0 0 F. II <br /> Sam Date Time .0 •= " v w E E v x o c <br /> p Location Description •5 00 <br /> „ v n v v <br /> Num Sampled Sampled F. 0 m m O U - C7 N iw_: iy Iis. <br /> I e 9�S G DW 1 I.l.l t�1 ty o9/s <br /> Remarks: Relin uishe Date: Time: uished Date: Time: Relinquished Date: Time; <br /> S�S3�,c <br /> 1&6 g� r7o0 L Is 14' . <br /> Rec ' Date: Time: Received By: ` Date: Time: Received By: Date: Time: <br /> /'(IM21-el /D`f � �X��. /� 7 % � <br /> Cornorate 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 93050 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> U 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 />