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1 CHAIN OF CUSTODY <br /> . J � <br /> Special www.fgllnc.com <br /> Labor, ory Copy (l of 3) <br /> � 1IIIIIIIIIIIIIiIIIIIIIIIIIIIIIII�IIIIIhIIII 35730:02/06r't017 TEST DESCRIPTION See Reverse side for Container,P erva�ive and Sampling information <br /> Clfgit: San Joaquin County EHD <br /> Ade4ess: San Joaquin Co.Environmental Health Dep .L •'g <br /> Water Quality Division <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> y t t h <br /> Stockton,CA 95205 ,; <br /> Phie: (209)468-0331 Fax: <br /> on <br /> Contact Person: Rodney Estrado <br /> Project Name: (tw rw�# -LtC6 W cc <br /> Purchase Order Number: lu�Q U J <br /> Quote Number: ST 20160309-01 H Q a <br /> W E 0 <br /> Samplers) Otis v' o z >, p - A <br /> a <br /> x <br /> 00 <br /> oCL.O .O .� W <br /> Sampling Fee: ' Pickup Fee: a a c a z&n <br /> Compositor Setup Date: I ! Time: I z p a z Z E <br /> vi S °vi C:. E P6L in <br /> A H <br /> Lab Number: STK �� 9 3-17919 0 ii .. Up. <br /> c 0 H a0 L <br /> � <br /> " Ey 11 t <br /> )amp Date Time , o o <br /> Location Description ,, e <br /> Num Sampled Sampled E., a, M M O v C7 cv w-: is, rs, <br /> G DW 1 1,1,1 �,7 tull'1-� v i <br /> 2emarks: Relingpished Date: Time: a to ished Da Time: Relinquished Date: Time: <br /> A ?gid -Zj?1- I � <br /> Rec ve y: : Time: Received By: ;,'2- <br /> Time: Received By: Date: Time: <br /> / /7/;te <br /> zZ !��'J 117 Io o'.'l L) I/7-a-6 <br /> Corporate Offices&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 /> tri Santa Paula,CA 93080 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 />