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M CHAIN OF CUSTODY <br /> ENVIRONMENTAL --AGRICULTURAL Special www.fgUtnc.com <br /> Analytical Chemists 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. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> v <br /> Contact Person: Rodney Estrada Q ¢ E <br /> Project Name: c7 <br /> � x <br /> Purchase Order Number: <br /> a; ? Q 5. Cz <br /> Quote Number: ST 20160309-01 N x h <br /> 0 <br /> o w a arEi <br /> Sampler(s) o W Z > O <br /> U <br /> * a' <br /> V �a <br /> o O <br /> Sampling Fee: Pickup Fee: <br /> a v p <br /> Compositor Setup Date: /_/ Time: /_ E a z O <br /> cn E Co Ca <br /> Lab Number: STK 3-17919 0 a o p <br /> Samp Location Description Date Time v ¢ o aQ E <br /> Num Sampled Sampled F. a co ca 0 w v <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 />