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CHMN OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists 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 x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 = <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney trach , A <br /> V <br /> Ir '� <br /> Project Name: C4 Cn <br /> Purchase Order Number: > so ua <br /> Quote Number: ST 20160309-01 <br /> E o F <br /> Sampler(s) U vwi z O a a <br /> 00 0 •E Q O <br /> Sampling Fee: Pickup Fee: e a o a aF <br /> a a o 04 0'A ;O :oz 2 E <br /> Compositor Setup Date:_/_/_ Time:_/_ o, z O c z c, -" <br /> v� E o� c az u, A F <br /> Lab Number: STK 3-17919 a ro U <br /> 0 FL x x x <br /> d w ?? lu <br /> Samp Date Time va o ^ '9 <br /> Location Description c 'Num Sampled Sampled P. CX O U- x" <br /> b <br /> 0 <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: ime:.. 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 /> SPnta 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 />