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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory C {py (1 of 3) <br /> 1 1111,AI 33730:111W2017 ILJI ULJ(KIVI1O\ JCL IZC%�uC •,.I► tut utl„tutatu,n <br /> tient: Sa 'Joaquin Gunn•EHD ' <br />►ddress: Saoaquin Cc. Environmental Health Dep <br /> Wat r Quality Mvision a q <br /> Atth;Rodney lstrada 3 z <br /> 186$East Hawton Ave. == x <br /> Stocgton,CA 95205 3 ` <br />)hone: (209)468-0331 Fax: w N x <br /> lontact Person: Rodney Estrada <br /> L <br /> 1,roject Name: ��5 ���� <br />"urchase Order Number: _^ ex 3 —• <br /> w <br /> oA <br />)uote Number: ST 20160309-01 y a ¢ x °" <br /> 3ampler(s) rwn Z O <br /> 9F A �a N ►�+ <br /> ^ Cts. QM � <br /> Sampling Fee: Pickup Fee: a O '�v a»O <br /> c, c •5 a.� t: Q.z <br /> compositor Setup Date: 1 I Time: I E =' z iu = °O b z .0 0 <br /> �. o =z �z �� Cc <br /> .ab Number: STK y E o °^ <br /> 3-17919 0 w `� wo CL <br /> '. U xCn <br /> x x <br /> am Date Time :r i E E •o •o •c <br /> Num Location Description Sampled Sam led F• aU 0 3) Q. <br /> aOU0c14 X <br /> w iw <br /> 1 �C G DW <br /> temarks: ob Relinquished ADe:: Time: uished ate: Time: Reliliquished Date: Time: <br /> .l '�� / a3 <br /> Rec5ve y: ate: Time: Received By: Date: Time: Receive By: ate ime: <br /> .7;Zv23 /�35 /7� /7Q <br /> t23 <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:(5591 TU-MIS <br />