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t CHAIN OF CUSTODY <br /> ENVIRONMENTAL,1=71W"FACIRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division -� a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 L)) C N� qL 3 , <br /> Phone: (209)468-0331 Fax: C7 w rA_ x <br /> Contact Person: Rodney Estrada Q °' <br /> V V <br /> Project Name: "M <br /> Purchase Order Number: <br /> Acti'l Qo `A 4s'1 Zo > a <br /> Quote Number: ST 20160309-01 H ¢ `✓ N <br /> Sampler(s) r E Z °O A <br /> eb 0 vi Q O W <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: I I Time: I E y z p a u ^z °O <br /> vv Z E <br /> � c� c,� <br /> z w Acc <br /> Lab Number: STK /4 3-17919 0 . � a a '•" c. c. <br /> 0 o <br /> Samp Date Time <br /> Num Location Description Sam led Sampled '` ° co cc °N ° <br /> P P E- a 9Q at O U— O N is.�. V4 is, <br /> 10 1 1,1,1 S ' <br /> � 3 DW <br /> U 3 G -7a Z Z �•, <br /> Remarks: Relinquished Date: Time: ished Date: Time: Relinquished Date: Time: <br /> C,51 LS 3 r 2(Z <br /> IleBy: Date: Time: Received By: li;� <br /> Time: Received By: Date: Time: <br /> Z <br /> VN /4(o0z3 / �, �7 C,1 V—TJ <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 /> i� 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 />