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Ctwri of CusToDy <br /> Special www4gum.c:Qm <br /> Laboratory Copy (1•bf 3) m <br /> llllllllllllill181111111111111'1111111111lIIll1 'E 35730:02/06/2017 TEST DESCRIPTION - =•e Reverse side for Container.Preservative And Sampi:ng information <br /> 'tient: Safi Joaquin.;~ounty EHD <br /> ;I,Ir•:.• C•rn'•1•.•rirnin(�•r F»r•irnnrn,•nr•rl F1.•rlrh�••rj � � � � �r <br /> Water Quality Division <br /> Attn:Rodney.Estrada ; <br /> 1868 East Ilazelton Ave. <br /> Stockton,CA 95205 3 cc1 <br /> 'hone: (209)468-0331 Fax: w 3 a <br /> 7ontact Person: Rodney Estrada a <br /> 'urchase OrderIuYer: c i w W a <br /> Zuote Number: ST 20160309-01 y w ¢ x a <br /> a E o H <br /> Sampler(s) U 0 a. A <br /> .. O <br /> w <br /> nJ4��-' � o o �a Q o S x <br /> Sampling Fee: Pickup Fee: °• L `v' <br /> 04 cv �E- <br /> CL to M a <br /> ;r <br /> compositor Setup Date: / / Time: / E z p a w =Z °O Z E <br /> Wccn c:. 5z iz A H <br /> Lab Number: STK �� �'j 3-17919 0 a T u 1:14r <br /> 0 0 Ey x0E� 11 r <br /> amp V 10 <br /> Location Description Date Time c c o as Z ZNum !! Sampled Sampled E.. Al &a coo v C7 cv fir._: U. isr <br /> I W P, -a G DW 1 1,1,1 <br /> temarks: Relinquished Date: Time: ed Date: Time: Relinquished Date: Time: <br /> &A . ,�LZ ��: fish1-M GAS �� �z /o:yj) <br /> ec By: 'Date- Time: Received By: Date: Time: Received By: Date: Time: <br /> f? Cdr L <br /> Corporate Offices&r Laboratory 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)734-8435 <br />