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---= CI iAIIY OF CUSTODY <br /> ENVIRONgENTAL - AGRICULTURAL Special www.,fgUnc.com <br /> Analytical Chernists 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 x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 �' <br /> aai <br /> Phone: (209)468-0331 Fax: x <br /> N <br /> C7 Ca 3 � Ey <br /> Contact Person: Rodney Estrada 4 Q S a <br /> � x <br /> Project Name: O vwi c° <br /> Purchase Order Number: a 3 n <br /> W <br /> Quote Number: ST 20160309-01 0 <br /> ¢ tx <br /> a w a <br /> Sampler(s) o z i O <br /> o O <br /> Sampling Fee: Pickup Fee: <br /> a o 94'c3 U <br /> Compositor Setup Date: /_/ Time:_/ E a z O o <br /> v E o V Ca <br /> Lab Number: STK 3-17919 0 a n p <br /> o O <br /> Samp Location Description Date Time ram c o 1 2 '5 a o <br /> Num Sampled Sampled "E FT- a w M 0 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 />