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- = CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTU <br /> RAL Special www.fgUnc.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 a <br /> Attn: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: w 5 <br /> Contact Person: Rodney Estrada O Q 2 <br /> � x <br /> Project Name: O C <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a ¢ V)C <br /> 0 E <br /> Sampler(s) o w z > O <br /> U * v V _ <br /> a <br /> as <br /> o p a <br /> Sampling Fee: Pickup Fee: <br /> n. y o a.52 <br /> v 0.Ul <br /> Compositor Setup Date:_/ /_ Time: /_ E a. z O a <br /> v� E o A <br /> Lab Number: STI{ 3-17919 0 a a a p <br /> 0 o <br /> 0 <br /> Samp Date Time Q Q <br /> Num Location Description Sampled Sampled FT a W co O 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 />