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CHAIN OF CUSTODY <br /> VON Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> l_ 1,. <br /> P 35730:02/06/2017 TEST DESCRIPTI - 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 x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: n <br /> Contact Person: Rodney Estrada Q d <br /> Project Name: y� E (,J C S Q 1 PDN O w " '0 <br /> Purchase Order Number: 1 P?.-)J V w 0 —' <br /> w d a ui <br /> Quote Number: ST 20160309-01 N <br /> n w p^ E E; 000 <br /> F" <br /> ampler(s) o z Thy A <br /> C k-A1 1 tom/ U C N O <br /> dq O ¢0 b W <br /> Sampling Fee: Pickup Fee: 5 [ o a(eq a <br /> a' O 0 W''U N eelis M Y N <br /> Compositor Setup Date:_/_/_ Time:_/_ �; z O n _z O 'C„ E <br /> v� E o v: c E zE- <br /> Lab Number: STK 3-17919 0 a c U x = pC x <br /> 0 <br /> Samp Date Time 0 E = ° '° <br /> Location Description <br /> Num led Sampled P P Sam a M 4O <br /> E• <br /> G DW <br /> Remarks: 451inquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> i, I r og10. I $ �Slr� <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> ,� <br /> ; ► I „ , <br /> Corporate Offices 8,Laboratory Office&Laboratory Office&Laboratory Office 8e Laboratory Office 8e 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)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />