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CHAIN OF CUSTODY <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists <br /> Customer Copy (2 of 3) } <br /> 35731:02/06/2017 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. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: x <br /> c? w 3r- <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: T L 1 r} <br /> Purchase Order Number: •> L a <br /> Quote Number: ST 20160309-01 <br /> Smpler(s) E w z > O <br /> �C.t.t, ( 0En 0 <br /> c a <br /> Sampling Fee: Pickup Fee: c cw o , p. <br /> Compositor Setup Date: / / Time: / E ¢, Z O <br /> Lab Number: STK 3-17919 0 &A 5 a a.. O <br /> v 0 � H 040 0, <br /> Samp Date Time -S lu 'L d E <br /> Num Location Description Sampled Sampled H <br /> 0 Travel Blank G LBW 4 <br /> I G DW 1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Dale: Time: Received By: Darr: Time: Received By: Date: Lime: <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)362-2000 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 />