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MMVA�= CHAIN OF CUSTODY <br /> =-6 RAL Special www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side foi-Container. Preservative and Sampling information <br /> Client: San.loaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> C? <br /> Contact Person: Rodney Estrada Q ? a <br /> Project Name: b <br /> Purchase Order Number: 3 6 w <br /> Quote Number: ST 20160309-01 <br /> N E o F <br /> a W CL g F 00 <br /> Sampler(s) o z T Q <br /> Sampling Fee: Pickup Fee: 5 <br /> Compositor Setup Date: / / Time: / Ei —' p W-za ='Z ° z E <br /> , z <br /> Lab Number: STK 3-17919 <br /> Samp Location Description Date Time ti a o o y n b <br /> Num Sampled Sampled E. a, q as O U`= C5 r, _: is. U. <br /> l G DW <br /> I <br /> Remark,: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Datc: 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 />