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CHAIIY OF CUSTODY <br /> Special www.fgUnc.com <br /> T.abo>`l ory Cosy (1 of'3) <br /> 357c10:02/0 ' 017 TEST DESCRIPTION - See Reverse side for Comainer. ervatice aitd Sampling information <br /> CI n: San J aquin County EHD <br /> Aess: San Joaquin Co. Environmental Health Dep kk^ ' <br /> Water Quality Division -A <br /> Attn:Rodney Estrada Cw <br /> cx c . <br /> ;+ 1868Ea��Hazelton Ave. rf2 4 rt° <br /> Stockton,CA 95205 = r <br /> S <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada H 7 <br /> Project Name: 5?LSj 4Lo <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y Q N <br /> Sampler(s) 0 w u >' p ii <br /> Sampling Fee: Pickup Fee: <br /> a <br /> z <br /> Compositor Setup Date: Time: E z O Z u g�n U ii <br /> Lab Number: STK 3-17919 <br /> � 0O 0- <br /> F- W u �tl 121 <br /> am Date Time '� <br /> IS Location Description E ° c <br /> Num Sampled Sampled r O U— 0, iz <br /> xpII <br /> Oxva <br /> (a—v <br /> 1 e& z /o; x G DW 94 <br /> Remarks: Relinquished Date: Time: uished Date: Time: Relinquished UaTe: Time. <br /> z ?��3/g,r�,,( J700 {n C4 UJ <br /> By: Date: Time: Received By: Date: Time: R eived By: Date: Time: <br /> �4,)6c*j // LIP14P /M�11 1-70- q <br /> Cornorate Offices&LabQrratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />