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CHAIN OF CUSTODY <br /> ENVIKONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists 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 a <br /> Attn: Rodney Estrada p, <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 = <br /> aAi <br /> Phone: (209)468-0331 Fax: w x <br /> i Contact Person: Rodney Estrada <br /> L <br /> Project Name: 0 <br /> v7 Cn id <br /> Purchase Order Number: ; a <br /> Quote Number: ST 20160309-01 <br /> E <br /> Sampler(s) 0 vwwi z T <br /> t> C <br /> ep 0 <br /> Sampling Fee: Pickup Fee: .5 c p, <br /> a <br /> Compositor Setup Date:_/_/_ Time:_!_ 6 u z p as <br /> d A <br /> Cn <br /> Lab Number: STK 3-17919 0 5 & p <br /> 0 0 d <br /> amp Location Description Date Time a o a <br /> Num Sampled Sampled F a co O 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)5254172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />