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CI mri OF CUSTODY <br /> Special www.fglinc.com <br /> AGRICULTURALENVIRONMENTAL <br /> Analytical Chemists M Custo jer Copy (2 of 3) <br /> 35730:02/06/ TEST DESCRIPTION - See Reverse side for Container. Pres:r ative and Sampling information <br /> 1 <br /> —it 1 <br /> Clieri; San Joaquin County EHD <br /> Addt"s: San Joaquin Co. Environmental Health Dep . <br /> •bt Water Quality Division # .7 <br /> i,' Attn: Rodney Estrada 3: a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada ,„ d E <br /> Project Name: r 7/►1GL►t U vWi M v) <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N <br /> w ¢ cx w <br /> Sampler(s) o v z Ta <br /> Q. O <br /> x <br /> Sampling Fee: Pickup Fee: E ° ;, o °" V Q <br /> CN M v <br /> Compositor Setup Date: / / Time:—/— E a z O x n .=Z a 0 v z 2 E <br /> oEn" , gz w Q F- <br /> Lab Number: STK 3-17919 <br /> Samp Date Time –o c o x v <br /> Num Location Description Sampled Sampled F' a m m O U C7 C-4 <br /> I G DW <br /> IZematrks: Relinquished Date: Time: Relinquished Dane: Time: Relinquished Date: Time: <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 />