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CHAIN OF CUSTODY <br /> EN'�"IENTAL" A(MCULTURAL Special www.fgUnc.com <br /> AplalytiCal Chemists <br /> Laboratory Co 1 of 3) f <br /> PY � p <br /> 35730:02106/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information r, <br /> Client: San Joaquin County EHD! <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. y i <br /> Stockton,CA 95205 3 <br /> t7 W a <br /> Phone: (209)468-0331 Fax: _ <br /> Contact Person: Rodney Estrada Q <br /> Project Name: WZOA14,tJ i,b4910 accCo tx <br /> Purchase Order Number: ¢ a w <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) c N z a0UJ <br /> A <br /> Sampling Fee: Pickup Fee: C ccca. <br /> O zCompositor Setup Date: Time: E p z x=II <br /> . aiw ailEz c <br /> xy P <br /> 4 <br /> Lab Number: STK 3-17919 o w C� � <br /> lamp Date Time .6 'Z .v�w If': bS Location Description o cc 'Cov 4n 0. 6Num Sampled Sampled ° VF. <br /> G DW 1 1,1f . <br /> Remarks: Reli d Date: Time: uished ate: Time: Relinquished Date: Time: <br /> S Z7- to :v <br /> ceive By: Date: Time: Received By: ate: Time: Received By: Date: Ti e: <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)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />