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CHAIN OF CUSTODY <br /> V FG­LM Special 11 www.fgUnc.com <br /> Analytical("11(-Inisis �,� LaboratoryC�py (1 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative Ind Sampling information <br /> 'tient: San'Joaquin County EHD <br /> address: an Joaquin Co. Environmental Health Dep <br /> later Quality Division <br /> fun: Rodney Estrada 3 a <br /> ,868 East Hazelton Ave. r <br /> Stockton,CA 95205 3 <br /> iu <br /> 'hone: (209)468-0331 Fax: <br /> 'ontact Person: Rodney Estrada 4 ¢ u y <br /> too a van � <br /> pro ect Name: o <br /> a 3 N <br /> 'urchase Order Number: > ¢ a W <br /> Zuote Number: ST 20160309-01 <br /> C <br /> 3ampler(s) c <br /> CIO <br /> z <br /> S av' O <br /> iampling Fee: Pickup Fee: c 4; <br /> compositor Setup Date: I I Time: / E & z p a c Z z <br /> cn lr crn c:. g <br /> '.ab Number: STK �� 3-17919 0 CO) a M V a a a r c. c. <br /> 0 0 <br /> amp Date Time E; <br /> 0 C;jE LH oLocation Description Q, = <br /> Num Sampled Sampled ° o 0W1 <br /> P. as�OU 1b1�4' <br /> Ubw <br /> 1 <br /> 1 �- G DW 1 1,1,1 (ID'SO <br /> temarks: Relinquished Date: Time: RelinquishedD te: Time: Relinquished Date: Time: <br /> YL2 1 - IV U GL� L149-1-bl' //:s6 <br /> w t�t <br /> lz <br /> eceived By: Date: Time: Receiv By- Da 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)7348435 <br />