Laserfiche WebLink
CHAIN OF CUSTODY <br /> Special www'gUnc.com <br /> Laboratory Copy (1 of 3) <br /> 1111111111111111 IN 11111111111111111111 11�11 1111111 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 j <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. y <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada Q <br /> Project Name: V3 <br /> 04 <br /> Purchase Order Number: �,� J` `(� Ctij� U w to v w <br /> Quote Number: Sr 20160309-01 a <br /> Sampler(s) E w z a A <br /> o U t u (n O ii 0 <br /> Sampling Fee: Pickup Fee: e a c a F- <br /> c <br /> Compositor Setup Date: /_/_ Time: / E o z p ii K .°z u O v z <br /> -- rn E °cn o z C z <br /> Lab Number: STK p{D 3-17919 0 ii <br /> Samp Date Time 5 0 O =o Location Description o <br /> Num Sampled Sampled O = O <br /> G DW 1 1,1,1 <br /> Remarks: Relinquished Date: Time: shed Date: Time: Relinquished Date: Time: <br /> -7o-7i) L I aI l <br /> Received Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Comorate Offices&Laboratory Office&Laboratory Office 8 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 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)7349473 <br /> Env Fax:(805)525-4172 1 Act Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />