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S ecial CHAIN OF CUSTODY <br /> P www rgUnc.com <br /> Laboratory Copy (1 of 3) <br /> Mw35730:02/06/2017 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 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 U 3 0 <br /> Phone: (209)468-0331 Fax: y ce_ <br /> c7 � <br /> Contact Person: Rodney Estrada \gc�f7� < <br /> C <br /> ti <br /> Project Name: . a <br /> Purchase Order Number: ���r-CAi (A e1�L1 �? > 00 a <br /> Q .. <br /> Quote Number: ST 20160309-01 <br /> E w <br /> / 00 A <br /> Sampler(s) / �/ W) o <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: z O .=Z u O d e E <br /> v� E °rn c— g xF- <br /> Lab Number: 9TK 3-17919 0 c: y <br /> c o a? <br /> Samp Location Description Date Time $ O V V o <br /> Num Sampled Sampled X E- a A C2 O U-- O N iw z: w u. <br /> I ��l'1 1,I + Z Ip.L G DW <br /> lJ•��� 3 1,1,1 "•1 al�� 7��{rt1 �'yV <br /> Remarks: Relinquished Date: Time: shed D c: Time: Reli 'sh Date: Time: <br /> Rec Vied By: Date: Time: Received By: te: Time: ceiv B ate: Ti/m�/ <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratoa Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Ddve,Sulte 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)7349473 <br /> o.,,,Gam,.•ianrN IZ')a-AI7')I An an— Fav f711ol Qd7-nd93 Fax•(5301 343-3R07 Fax:18051783-2912 Far•lAfi91 73d-RAIR <br />