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FGLC lY OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL pecial ww.fgUnc.com <br /> Analytical Chemists " Field Copy (3 f 3) <br /> j 35730:02/06/2017 Tt�ST DESCRIPTION - See Reverse side for Container.Preservative and SamplIA9 information <br /> Client: San Joaquin C'4unty EHD <br /> Address: San Joaquin C4.Environmental Health Dep <br /> Waterty <br /> Qty tvision i <br /> Atm:Rodney Iptirada 3 `t <br /> 1868 East Hazelton Ave. g <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: Eli <br /> o; <br /> Contact Person: Rodney Estrada Q 7 <br /> Project Name: ;') c7 vWi &n <br /> Purchase Order Number: U w 30 uw <br /> Quote Number: ST 20160309-01 <br /> a W ii B H E <br /> Sampler(s) o w z T O a O <br /> U <br /> Sampling Fee: Pickup Fee: ; c co) r n <br /> Compositor Setup Date:_/_!_ Time: z O a z „ ?�-- <br /> Lab Number: STK x <br /> 3-17919 0 a c � VF v o Q <br /> o o '; F o4a oa � a <br /> Sip Date Time s a � Z °J a o a o 2 x <br /> Num Location Description Sampled Sampled 4 N a. rA ai-S U, U N <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 1 <br /> Received B ` 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 />