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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AMCULTURAL---- Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 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 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada e \ A <br /> Project Name: D�� N ��� N O w ' o a <br /> 1 �S ti�ti a <br /> Purchase Order Number: Lj�o L\k <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) `\o ({��j� o ti z T <br /> 7a <br /> Sampling Fee: Pickup Fee: c a c a <br /> C4 z <br /> Compositor Setup Date: / / Time: / E R z O <br /> -- M 0 c Q <br /> Lab Number: STK 3-17919 0 w i T p <br /> 0 o E� w' <br /> Samp Date Time •5 '� Q <br /> Location Description > G w w a <br /> Num Sampled Sampled F. a M X O w v <br /> 0 Travel Blank G LBW 4 <br /> G DW 4 <br /> Remarks: 71' ished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> ) <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> On/ /3ZD; <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 />