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- -= CHMN OF CUSTODY <br /> Special www.fgUnc.com <br /> Field Copy (3 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 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> u <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada A d <br /> Project Name: O <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) U z T p A <br /> * P4 O <br />_ a QM N x <br /> Sampling Fee: Pickup Fee: a O .o a O n <br /> C. y p rs p''0 d`� .�.MO a z y v <br /> Compositor Setup Date:_/ / Time:_/_ �, z O �a of z <br /> u <br /> v� E cgw p F <br /> Lab Number: STK 3-17919 0 ii a a U rA x "' <br /> 20 <br /> Samp Date Time a .n o o x <br /> Location Description " O d -S 0 N w <br /> Num Sampled Sampled '^ y y <br /> P P F a M WO U-2 ON y =: v h- <br /> I G DW 1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> I1,L/ <br /> Received•By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> - �P(517 IIOL <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax: (805)783-2912 Fax:(559)734-8435 <br /> 4 <br />