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=g CHAIN OF CUSTODY <br /> .ONMENTAL , . , Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <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. 3 <br /> Stockton, CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> t? w 3 <br /> Contact Person: Rodney Estrada Q <br /> Project Name:i 0�1 t'[ �' woodLf <br /> Purchase Order Number: U W in <br /> �? �j ¢ vii a• p W <br /> Quote Number: ST 20160309-01 N 94 N <br /> a�Ei 00 Q <br /> Samplers) Gtr^t NJt3 N19SPe/f1 U O a ,a <br /> w O <br /> oio o � •E� a 0 `� W <br /> Sampling Fee: Pickup Fee: <br /> C N <br /> Compositor Setup Date: / / Time: /_ E a z p a: = L z E <br /> E oval oz c u Q F= <br /> Lab Number: STK 3-17919 0 a o W a o <br /> E <br /> Date Time °' = E c E 73 x b b <br /> Samp Location Description o, a o <br /> Num Sampled Sampled � F. a <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> f.. , ,i ! <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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:(559)734-8435 <br /> I <br />