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a CHAIN OF CUSTODY <br /> ENVIRONMENTAL --- AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy. (3 of 3) <br /> 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 3 a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> C.7 W <br /> Contact Person: Rodney Estrada 2 ¢ S <br /> o <br /> O w Y <br /> Project Name: '� � v� w oy � <br /> Purchase Order Number: U w cel <br /> Quote Number: ST 20160309-01 0 ¢ N x N <br /> 6wt'" oo Q <br /> Sampler(s) U * Z` O a. .a <br /> * ` Ox <br /> o O Sa Q0 � w <br /> Sampling Fee: Pickup Fee: .S a n a N x E~ <br /> o a �'v aid en <br /> Compositor b� <br /> Compositor Setup Date:_/_/_ Time:_!_ o z p d a o z z <br /> 0 <br /> Lab Number: STK 3-17919 0 a a cc U x y x x <br /> 0 0 � F �� o� �aH II a a <br /> amp Date <br /> led Time a '� o ^C o a 7M ° <br /> Num Location Description Sam Sam led " ' O d <br /> P P H P [0 P O V <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: Date: Time: Received By: Dale: Time: Received By: Date: Time: <br /> Coraorate 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 />