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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.,fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 n <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada A Q 2 <br /> { \ = x <br /> Project Name: <br /> rx <br /> Purchase Order Number: <br /> ¢ <br /> Quote Number: ST 20160309-01 N W <br /> o00 <br /> F <br /> Sampler(s) o vWi z > O A <br /> U * 0 a x <br /> * a <br /> Sampling Fee: Pickup Fee: g c a o <br /> C M N <br /> Compositor Setup Date: /_ Time: /_ z O aG o z 5 z w� o F <br /> Lab Number: STK 3-17919 0 a a U m x x <br /> v <br /> o F <br /> Date Time xSamp 4 <br /> '— <br /> Num Location Description Sampled Sampled " ' ed w-S �' °' <br /> P P H a. W M O U - C7 r4 <br /> 1 s G DW <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 />