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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL ACiRICULTURAL P www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 1111111111101 ii 11111111111 Ell 11111111!1111, 35730:02!06/2017 TEST DESCRIPTION See Reverse side for Container.Preservative and Samplin, infor 1 t ion <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division i <br /> Attn: Rodney Estrada 3 x t <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> rZ <br /> v <br /> Phone: (209)468-0331 Fax: x <br /> U w 5 H <br /> Contact Person: Rodney Estrada Q Q <br /> Project Name: cn co <br /> Purchase Order Number: U w ✓ aIIi uj <br /> Quote Number: ST 20160309-01 ¢ a <br /> o a 2 E � F" <br /> Sampler(s) E w z <br /> v y a a x <br /> Sampling Fee: Pick-up Fee: E <br /> Compositor Setup Date: i ! Time: ! E <br /> v� EGov o E z is Q F <br /> Lab Number: STK 3-17919 0 w Z 0. cco <br /> y ^ n <br /> v p E i a F II <br /> amp Date Time c b '� `_ '= o x <br /> Num Location Description ;u5Sam led Sampled " <br /> P P <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date. Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Datc: Time: <br /> Coraorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laborato[y 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 />