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CHAIN OF CUSTODY <br /> Special www lglinc.com <br /> Laboratory Copy (1 of 3) <br /> 1111111 NO M1111-111111 1111111411111111111 35730:02/06/2017 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 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> v w 3 <br /> Contact Person: Rodney Estrada rr A ¢ v <br /> Project Name: <br /> \I-ILC <br /> Purchase Order Number: - p pri <br /> w ¢ N a <br /> Quote Number: SC 20160309-01 h x <br /> $ a E t H <br /> Samplers) G. Z U & O a O <br /> � Cc"-AL,S('J C �t, �a H x <br /> Sampling Fee: Pickup Fee: E- <br /> aF- <br /> c u C° a•z `'' o Z u ° <br /> Compositor Setup Date:_/^/_ Time:_/_ E o z O _Z O <br /> u =.. A E <br /> ri) E c vi o g Z li. A (- <br /> Lab Number: STK 0 3-17919 0 w i5 U a = n a <br /> S o v F- u �= �= H II <br /> Samp Date Time �s c— c oLocation Description > °Num Sampled Sampled c, —`6�x <br /> 1 �.II �kQc�,1 u�,��tnl 90 G DW 1 1,1.1 ��5(� Z ,^iT;.l ,,>ti, <br /> Remarks: Relinquished Date: Time: R tnq ed Date: Time: Relinquished D te: Time: <br /> ,��2.1 ����5 e /0m 1-7oa �, �� 21 (Q ( <br /> Re c the Date: Time: Received By: �f Date: Time: Received By: Date: ime: <br /> 0</XO0% ArJ 1 -7 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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 Visalla,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 />