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-_ - CHmri OF CUSTODY <br /> EI�VIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists Field Copy (3 of 3) <br /> (IIIII IIIII IIIII I VIII IIIII VIII IIIII IIIII II 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 <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. ro <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: °G <br /> w 3 � _ <br /> Contact Person: Rodney Estrada ro Q Q <br /> � a <br /> Project Name: c° , <br /> Purchase Order Number: 3 a <br /> Quote Number: ST 20160309-01 z ¢ <br /> n W a EEi <br /> Sampler(s) o z > O <br /> U * R <br /> � rx <br /> Sampling Fee: Pickup Fee: Or o a <br /> Q C <br /> Compositor Setup Date:_/ /_ Time:_/ E K z <br /> N Q <br /> Lab Number: STK 3-17919 0 LI) a CL p <br /> 0 0 °' E• a: o <br /> Samp Date Timeo ^� ¢ <br /> Num Location Description Sampled Sampled p° oa p w <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received 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 />