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CHAIN OF CUSTODY <br /> :7 Special : www.fgUnc.com <br /> b La <br /> boia�ory Copy (1.of 3) `t <br /> 35730:02/ /2017 TEST DESCRIPTION;- Sec Rc„rerse side for Container. teservative anti Sampling in - <br /> ���Il�llllllllllllllllllll. � �� .. <br /> 'ui. <br /> lent: San Jc,aquin,County MID <br /> � Ir.•c.• C•in 1.:unpin f',. Fr„•�rnn),1rnr•I t1..•�Irh (l•„ ` ' �� { . <br /> Water�Qualitp;Divisionr ;j <br /> Attn:Rodney.Estrada 1,3 <br /> 1863 East 1-iakelton Ave. <br /> Stockton,CA= 95205 "3 <br /> ?hone: (209)468-0331 Fax: <br /> �ontact Person: Rodney Estrada Icc <br /> ?roject Name: VVD& � �`'1��(,Gb" C7 rwn v' <br /> ?urchase Order Number: IN� X313 U w <br /> ua <br /> Zuote Number: ST 20160309-01 a ¢ <br /> Samplers) E w � 0 a O <br /> 1%avh', G�s���C ^ <br /> o oa ao <br /> Sampling Fee: Pickup Fee: _ °� c W <br /> :~ <br /> Compositor Setup Date: I I Time: / E a z0 a i �'z d Z B z E <br /> C4 E c cn c" <br /> Lab Number: STKMet./69 3-17919 0.u cc O a _- <br /> oE;amp Date Time -S0. 402V <br /> a �Location Description , o oSampled Sampled =V <br /> o, �a <br /> . <br /> iNum 7cv s, U. <br /> I $ <br /> a i 5- G DW -01A19, LO <br /> temarks: Relinq ishe Date: Time: Relinquished Datp: Time: Relinquished Date: Time: <br /> Receive 2R_tf=_ <br /> Time: Received By: te: Time: Received By: Date: Time: <br /> B <br /> l I 6l 9/m7k 1!0 _& <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street AN -, 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 U" 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)525-41721 Ag Fax:(805)392-2083 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />