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EG L Special CHMN OF CUSTODY <br /> o P wwmfgiinc.com <br /> Laboratory Copy (1 of 3) <br /> 1111111 fli 1111111 11M 111111 fli[TI 1111111111 1111M 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. <br /> Stockton,CA 95205 3 W <br /> Phone: (209)168-0331 Fax: w rS x <br /> Contact Person: Rodney Estrada 1 <br /> Project Name: qj 4 S �!_ ►� ��G}��E1 c7 y r$ <br /> Purchase Order Number. Ia t� V, C t LL a W <br /> Quote Number: ST 20160309-01 ¢ `✓ <br /> 6 o F <br /> 00 <br /> Sampler(s) o Z` T 0 <br /> GO Q <br /> CO) F4a a x° <br /> o O rail ¢O `g w <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time:_/_ o z p c c z c z E <br /> vi E o rn ii. A F <br /> Lab Number: STK 3-17919 0 W) a o. r. V <br /> c 0 (✓ rx 6 ink <br /> F II o. a <br /> 3amp Date Time 8 .mau '� ` c o x <br /> Location Description v o , 'S o o Z <br /> Num ` Sampled Sampled t. a ao ao O u w <br /> 0 r ii_: iw ' <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquish d ate: Time: Relinquished Date: Time: <br /> �� .4L 1 q(v i,\ 11 2 ate: <br /> 110 2l <br /> Receive By: ate: Time: R B pate: Time: Received By: Date: i ime: <br /> 5 �g g 2D2/ i - i 1, 4 l Z � I qO .G <br /> Comorate 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)7349473 <br /> Env Fax:(805)5254172/Ao Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />