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CHmri OF CUSTODY <br /> Special www.fgUnc.com <br /> Customer Copy (2 of 3) <br /> �IIIIIIIIII�IIIIIIIII''IIIIIIIIIIIIIIIIIIII,��lllllllllllll --i 35730:02/06/2017 TEST DESCRIPTION ,' S6e Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD a <br /> Address: San Joaquin Co.Environmental Heal Dept <br /> Water Quality Division <br /> Atm:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> Phone: (209)468-0331 Fax: <br /> w 3 V) _ <br /> Contact Person: Rodne Estrada / 'AJ A <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 ' w ¢ <br /> o N <br /> oo <br /> Sampler(s) <br /> Sampling Fee: Pickup Fee: S ; o °" fl <br /> 0410 t 1� en <br /> Compositor Setup Date:_/_/_ Time: z O is o z c z iy A EF <br /> 0 <br /> Lab Number: STI{ 3-17919 o w a a d <br /> b o = F aO E F II <br /> Samp Date Time fl <br /> Location Description ' o d <br /> Num Sampled Sampled O U I. i <br /> w <br /> l G DW <br /> Remarks: Relinquished Datc: Time: Relinquished Date: Time: Relinquished Date: Tinn': <br /> Rec ved By: Date: mime: Received By: Date. Time: Received By: Dare: Time: <br /> 1, 13/Z , <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 />