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AM— CHAIN OF CUSTODY <br /> --=- SpecialENVIRONMENTAL AGMULTURAL www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> I 35731:02/06/2017 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 Y <br /> 1868 East Hazelton Ave. cc <br /> g <br /> Stockton,CA 95205 p <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name:)400 old!V1G1nn�eV Y rn <br /> Purchase Order Number: TY P CG Ch q CJD 3 ° <br /> Q a <br /> Quote Number: ST 20160309-01 N <br /> oc, w p. F <br /> Sampler(s)y� _ o &n >, O <br /> �lY�S 1l11q �Oe"�v� U * .9 <br /> o O Sh O <br /> Sampling Fee: Pickup Fee: S °" ; c! a <br /> a v o P: d CU1 <br /> Compositor Setup Date:_/_/_ Time:_/_ z O r, <br /> rn o A <br /> Lab Number: STK 3-17919 0 C T u.. p <br /> o P4 <br /> Samp Date Time •s <br /> Num Location Description Sampled Sampled a° a°a M O w�v <br /> 0 Travel Blank G LBW <br /> G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> eked By: Date: Time: 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 /> 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 /> WL. <br />