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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> MORO - KjRICULTMAL <br /> Laboratory Copy (1 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling informatiojr <br /> Client: San Joaquin Count} EHD Q ¢ <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Atm: Rodney Estrada v e <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 45205 0. <br /> a) <br /> Phone: (209)468-0331 Fax: x <br /> C7 A <br /> Co y <br /> Contact Person: Rodney Estrada <br /> Project Name: Cn A r� <br /> �°O a <br /> Purchase Order Number: ( I� aS / > <br /> Lw <br /> Quote Number: Sr 20160309-01 <br /> WE a22 � 00 A <br /> Sampler(s) o rn Z r O a <br /> a O <br /> 0 CU <br /> Sampling Fee: Pickup Fee: 5 ° c a fl <br /> C t N MID <br /> Compositor Setup Date:_/_/ Time: _/_ E a z Oa v "z v 0 z E <br /> W E �to g oma. x LL. <br /> A F= <br /> Lab Number: STK 3-17919 0 a U m = x x <br /> N <br /> Samp Location Description Date Time v T o o N r <br /> Num Sampled Sampled F- a ao m O U <br /> I t-✓ j K le 9I2 11;d0 G DW 1 1,1,1 ,14 W9 11700 <br /> Remarks: Relinquished ate: imE a mq s It Date;— Ti <br /> All ,3 5 I � r- �Q <br /> Received By: D te: Time: Received By- D te: Time: Received By: Date: Time: <br /> /qtD <br /> VIM qw <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office A 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:(8051525-4172/Aa Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />