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CHAIN OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL Specialwww.fgUnc.com <br /> Analytical Chemists Field Copy til ()f �l <br /> ~ ) <br /> 3:;730:02i06/2017 I LST DLSCRIP1'10IN - See Reverse side liar Container. Preservative and Safi°,$; hn, utl umauon <br /> Client: San Joag4 County EHD l <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division J <br /> Atm: Rodney Estrada a <br /> 1868 East Hazelton Ave. b <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: <br /> W d Q <br /> Quote Number: ST 20160309-01 N x N <br /> E00 <br /> o H <br /> Sampler(s) o w z O Q <br /> x <br /> a a x F <br /> Sampling Fee: Pickup Fee: rq_ y o � <br /> cNa y M .b Z y v <br /> Compositor Setup Date: / / Time: / a z p <br /> -- J7 E .. C O C z <br /> O(� <br /> Lab Number: STK 3-17919 0 iz a U x <br /> Samp Date Time -S o = c E x a <br /> Num Location Description Sampled <br /> Sampled Sam <br /> PF a x mC U`' c7N wc: k <br /> G, DW 1 I,LI <br /> Remark.: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: 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 />