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CHAIN OF CUSTODY <br /> AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy 3 of 3; <br /> 1 33730:02/06/2017 TEST D ''CRIPTION - See Reverse Sid or Container. Preservative and Sempling inii nation <br /> Client: San Joaquin County>'° ][D <br /> Address: San Joaquin Co. Envi�nmental Health Dep ' <br /> Water Quality Division <br /> Attn:Rodney Estrada p <br /> '1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada A d <br /> Project Name: - a <br /> Purchase Order Number: <br /> " <br /> Quote Number: ST 20160309-01 W a <br /> 0 x o <br /> Sampler(s) i o rw T °O A <br /> Sampling Fee: Pickup Fee: 5 a o a a FW <br /> Compositor Setup Date:_I_1_ Time:_/ E a z p c+; � :a z �O <br /> Lab Number: STK 3-17919 0 � a, c4. <br /> V x u,kn <br /> A <br /> Samp Date Time Cw '�r o "o b <br /> Num Location Description Sam led Sampled " ' O `d M ° °C' 0 a <br /> P P F- w m w 0 U� 0 w -: l <br /> 1 G DW <br /> Remark: Relinquished, Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Coroorate 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 />