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==_ CHAIN OF CUSTODY <br /> . . - AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists 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 MID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A ¢ 2 <br /> o <br /> Project Name:15-1 kv-1 vWi v°, <br /> Purchase Order Number. �3l > a <br /> Quote Number: ST 20160309-01 <br /> E <br /> Sampler(s) / c 9) z T 0 <br /> (Rn�. S t lS�clf LSH ,L U <br /> * <br /> Sampling Fee: Pickup Fee: <br /> Q a <br /> Compositor Setup Date:_/_/_ Time:_/_ E —°'n z p a a <br /> Lab Number: STK 3-17919 o w a r O <br /> 0 o H aY. tnZ <br /> Samp Date Time -5 Q, a 15 '1 Q 6 <br /> Num Location Description Sampled Sampled " E~ ao M oo O w� <br /> 0 Travel Blank 1 G LBW 4 <br /> 1 ✓✓{. ; L .;�1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Datc: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory ice&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 />