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CRAM OF CUSTODY <br /> Special www.fgUnc.com <br /> `r Laboratory Copy (I. of 3) <br /> 35730:02/06/2017 kTEST DESCRIPTION - See Reverse side for Container,Preservative and Sankpling information <br /> Client: San Joaquin County EHD ! ;' <br /> Address: San Joaquin Co.Environmental Health Dep w <br /> Water Quality Division a <br /> Attn i Rodney Estrada �O ,•�,b M <br /> 1868 East Hazelton Ave. k <br /> Stockton,CA 95205 3 n. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q °' <br /> Project Name: �Jq,-!> C <br /> N ` y <br /> Purchase Order Number: > ¢ rx w <br /> Quote Number: ST 20160309-01 l� l N <br /> o E� <br /> Sampler(s) ,, t u C a A <br /> qqeSN O <br /> en O 0 W <br /> Sampling Fee: Pickup Fee: c c,� c,C14 <br /> Compositor Setup Date: I l Time: I E Q, z p a w =_z ani 0 z A H <br /> v� E Cn o:. g z u, <br /> 9]9 M <br /> Lab Number: STK 3-17 a — o a <br /> Date ==o0 = <br /> amp Time 5 <br /> Location Description ° <br /> Num Sampled Sampled E'- aOE U �Va <br /> 1 VQ l n 10'. 0 G DW to <br /> i <br /> Remarks: Relinquished Date: Time: 7/1 <br /> ished A,; <br /> te: Time: Relinquished Date: Time: <br /> W65T <br /> Re _' y: Date: Time: Received By: Date: Time: Receiv d By: Date: Time: <br /> 1-allW3 /0.5 .3l 3 /7� Qz-5 <br /> Corporate 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 /> 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)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />