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z CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Field Copy (3 of 3) <br /> 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 3 a <br /> Attn: Rodney Estrada y <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> aai <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada O <br /> Project Name: <br /> Cs5 y <br /> Purchase Order Number: U w 3 a <br /> w ¢ N <br /> Quote Number: ST 20160309-01 N x <br /> E <br /> Sampler(s) o z > O <br /> U * v <br /> ca C Lti. C <br /> Sampling Fee: Pickup Fee: S ° o a� <br /> a o s a UO] <br /> Compositor Setup Date: / / Time: / vEz O Ca <br /> 0 <br /> Lab Number: STK 3-17919 0 iZ fl p <br /> Samp Date Time -a a 5 ii ¢£ <br /> Num Location Description Sampled Sampled FT a rA O w a <br /> 0 Travel Blank G LBW 4 <br /> l 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 />