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CHmri OF CUSTODY <br /> VlAi . , Special` www.fgync.com <br /> Customer Copy (2 of 3) <br /> -------------------------------- <br /> 35730:02/06/2017 TEST DESC ION See Reverse side for Container,Preservative and Sampling informati�` <br /> Client: San Joaquin County EHD•' x <br /> Address: San Joaquin Co.Environmtal Health Dep <br /> Water Quality Division a t; <br /> Attn:Rodney Estrada i,: , <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: w x x <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o <br /> a W p t 000 F <br /> Sampler(s) ` o W z 00 A <br /> Sampling Fee: Pickup Fee: c C a p <br /> a��i e� �O b �' <br /> Compositor Setup Date:_/_/_ Time:_/_ E fl z O o z <br /> V) z <br /> Lab Number: STK 3-17919 o w a <br /> o F PG U F II <br /> Samp Date F,me -S a o a o x <br /> Location Description > o o f d E a <br /> Num Sampled F- a M M O U O N <br /> `''"k 1� G DW 1� J <br /> Remarks: Relinquished 1 i ,,i Dat ¢`•• Time: Relinquished Date: Time: Relinquished Date: Time: <br /> I i <br /> Received Bv: Date: Time: Received By: Datc: Time: Received By: Date: Time: <br /> Cqrporate Offices Laboratory Office&Laboratori Office 8,Laboratory Office&Laboratory Office&Laboratory <br /> 8M Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Sdhta 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 />