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- -= CHMN OF CUSTODY <br /> ENVIRONMENTAL _AGRICULTURAL <br /> 3 Special � www.fgUnc.COM <br /> Analytical Chernists Field Copy 0 of 3) <br /> i <br /> 35731:02/06/2017 TEST DESCRIPTION See Reverse side for Container,Preservative and Sahipling information <br /> Client: San Joaquzu County EAD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c <br /> N <br /> Phone: (209)468-0331 Fax: w <br /> Contact Person: Rodney Estrada CnA <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y W d `" <br /> n W a ayi F <br /> Sampler(s) U z T O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: /_/_ Time:_/ —°'R z O c <br /> oCnA <br /> Lab Number: STK 3-17919 0 ii <br /> 0 0 <br /> Samp Date Time ; d <br /> Num Location Description Sampled Sampled E~ p° pq ra 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)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />