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FM-=—apkCHAIN OF CUSTODY <br /> _-- Special www.fgUnc.com <br /> ENVIRONMENTAL�-- AGRICULTURAL <br /> Analytical Chemists Field Copy Q of 3) <br /> F 35730:02/06/2017 TMST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Jgaquin Co.Environmental Health Dep <br /> Water Quality Division i <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. g <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada A Q 7 <br /> Project Name: , f LILI O vWi <br /> a � <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o W `" <br /> a W a F 0 F <br /> Sampler(s) <br /> t U O <br /> o p •� Q O <br /> Sampling Fee: Pickup Fee: 5 ° o °"C1 o <br /> Compositor Setup Date: / / Time: / z O a z O z <br /> Lab Number: STK 3-17919 o h ii o U x V <br /> 0 0 � <br /> ampDate Time <br /> Location Description Sam u '' ° <br /> Num led Sampled d <br /> P P � E• P ca CG O U <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Comorate 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)734-8435 <br /> s,,� Qww <br /> „_ <br />