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CHAIN OF CUSTODY <br /> AGRICULTURAL Special www.fgUnc.com <br /> Customer Copy (2 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 p <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> w 3 V) _ <br /> Contact Person: Rodney Estrada Q <br /> Project Name: W <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> W a E F <br /> Sampler(s) 0 V) z CO <br /> * v � <br /> O Q C Pa G <br /> Sampling Fee: Pickup Fee: 5 a o a <br /> Compositor Setup Date: / / Time: / E z O x <br /> v� E o Q <br /> Lab Number: STK 3-17919 0 a o o a p <br /> Samp Date Time �5 <br /> Num Location Description Sampled Sampled � t~ a w w O w <br /> 0 Travel Blank G LBW 4 <br /> I 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 8,Laboratory Office&Laboratory Office 8,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 />