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CHMN OF CUSTODY <br /> FGL <br /> ENVIRONMENTAL AGRICULTURAL <br /> Special www.fgunc.com <br /> Analyti,,al Chemists <br /> Field Copy (3 (,f 3) <br /> 1111111 iiiii hi Ii'111111II� 111111111 IN <br /> 5730:02106/2017 TL'>I DESCk 'TION See Reverse side for °'ntainer, Preservative and Sampli! informati <br /> f�lllllllllllllillllllllli>;Illllllllllll c. - <br /> Client. San Joaquin Cis mty EHD. <br /> Address: San Joaquin Co. Environmental Health Dep i <br /> Water Qualitv Division j <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =" <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada O <br /> Project Name: <br /> Purchase Order Number: U w 3 E v w <br /> Quote Number: ST 20160309-01 ti w ¢ "' <br /> 6 0 H <br /> Sampler(s) o z O �_ Q <br /> Cn <br /> a O <br /> oii 'cam ¢O w <br /> Sampling Fee: Pickup Fee: _ a 5 a N x E� <br /> a <br /> Compositor Setup Date: / / Time: / E a z p v N° O z E <br /> Ln E oz �_7f- <br /> 0 <br /> Lab Number: STK 3-17919 w E <br /> Sam Date Time r " — E v E <br /> p Location Description a o b o 'Uo 5 <br /> Num Sampled Sampled 2'' a. ai w O j _ C7 — <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: 1-intc: Relinquished Date: Time: <br /> Recck ed B\: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> A <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 />