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CHAIN OF CUS9)DY <br /> Special :1 www.fgUnc.cAnalytical Che-misiso <br /> R <br /> Laboratol y Copy (1 of 3) <br /> 35730:02/06/201'1 TEST DESCRIPTION - , . Reverse side !i)r Container,Preservative and Sampling int'ormation ; <br /> Client: San Joaquin County EHD <<' <br /> Address: San Joaquin Co.Environmental Health 6;p <br /> WaterQ y Division <br /> t <br /> Attn:Rodney Estrada J�'' <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: •` w <br /> Contact Person: Rodney Estrada <br /> Project Name: `(,3ZD <br /> Purchase Order Number: <br /> fil <br /> Quote Number: ST 20160309-01 y 5a- <br /> Sampler(s) aw� &w-aq�`— U 9 `n O °' "a <br /> x <br /> r * o O <br /> Sampling Fee: Pickup Fee: e a c M x <br /> Compositor Setup Date: I l Tie: I a Z p � � —�'»z O 75 A <br /> , a� oma. cz <br /> cooE iJ.� <br /> Lab Number: STK �-�' 3-17919 b n a cc <br /> a Q• ¢, <br /> lamp Date Time � c. 0 =o 0, E <br /> Num Location Description Sam led Sampled 0 ''r' o <br /> P P 2 E- a s as O U v <br /> I WA 1�,,pY G DW <br /> Remarks: Re" ff Date: Time: quished D te: Time: Relinquished Date: Ti <br /> Rece Date: Time: Received By: /;Date- Time: ei d By: Date: Time: <br /> 14 6 0 PDXZ 2 5 1-7 e_727) _j <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 Avenge <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 /> ``y` 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 />