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CHAiri of CUSTODY <br /> Special www.fgUnc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35730:02106/2017 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 z <br /> Attn:Rodney Estrada G <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 <br /> c. <br /> Phone: (209)468-0331 Fax: <br /> At4 <br /> Contact Person: R ne Es fie Q l <br /> Project Name: W g0 ( S• c7 w � � S <br /> Purchase Order Number: <br /> L 1 <br /> I M I�-e'hN W Q v a <br /> Quote Number: ST 20160309-01 C4 N <br /> a. .. E o E- <br /> W rs, a> a oo A <br /> Sampler(s) //t`Cl'L��l s(o-5y�K: o z >. O ..] <br /> U * °' a a O <br /> * o O Loi Q O `..° W <br /> Sampling Fee: Pickup Fee: Al o� °" - c.j <br /> Compositor Setup Date: / / Time: / E Q, z p a; a °'z Z v Z E <br /> c n c a <br /> Lab Number: STK 3-17919 0 Cn v co <br /> O O E' �iv v <br /> =Samp Date Time �s a, c c '° ti <br /> Location Description cc'E o N : 0. 2 <br /> Num Sampled Sampled M OV O U. V. u, <br /> 1030 G DW 1 1.1.1 r Ills Cd►#o <br /> Remarks: Relinquished Date: Time: quished Date: Time: Relinquished Date: Time: <br /> S� 6� 77 lc2 4pa <br /> as �az3 X706 3 <br /> V. 3y 1 � Ig <br /> By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 />