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CHAIN OF CUSTODY <br /> Special www.fgtinc.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 3 a <br /> Attu:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada I t A <br /> Project Name: ., �- : vwi h <br /> Purchase Order Number: rx ua <br /> Quote Number: ST 20160309-01 <br /> E00 <br /> o F <br /> Sampler(s) <br /> ��\ y} \ o vwi p A <br /> a° a00 E� <br /> Sampling Fee: Pickup Fee: x <br /> 5 „ ° h p O <br /> a o u� <br /> Compositor Setup Date: Time: z O E <br /> Lab Number: STK 3-17919 0 a a r. U x N^ x x <br /> Samp Date Time 6 �, a m =o <br /> Location Description Sampled Sampled " ° d ° (U n. <br /> Num <br /> P P [ a as A 0 U <br /> 1 G DW <br /> t <br /> Remarks: Relinquished Date: Time: Relinquished Date: 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&LaboratoE+ 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 />