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CHAIN OF CUSTODY <br /> Ef <br /> MR 6- NMENTAL AGRICULTURALSpecial www.fgline.eom <br /> Analytical Chemists .E Customer Copy (2 of 3) <br /> L 35730:02/06/2017 TEST DESCRIPTION - See Reverse side$qtr Container,Preservative and Sampling information X <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a ` <br /> Atm:Rodney Estrada s <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada ( A d <br /> Pro ect Name: <br /> Purchase Order Number: _ va <br /> Quote Number: ST 20160309-01 <br /> o. 00 A <br /> S7pler(s� � < r� o * � p a a <br /> l.r i J✓ V �t E4 O <br /> S x <br /> Sampling Fee: Pickup Fee: <br /> r a o 'v ami' ro M o °' <br /> Compositor Setup Date:_/_/_ Time:_/_ rE z O ° <br /> [ o z a z = q H <br /> o u. <br /> Lab Number: STK 3-17919 0 h a N. <br /> Samp Date Timesa o o x <br /> Location Description > o ro o o <br /> E <br /> Num Sampled Sampled F o co a1 O V C7 C4 = u <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: "lime: 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 /> SarSta 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 />