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-_-= CHAIN OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-0331 Fax: w a <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: t` <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> N E o H <br /> Sampler(s) o z T O �_ A <br /> ^ O ?" O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time: / �, zp = L°O z E <br /> --- -- E oC4 oz S ti A FF <br /> Lab Number: STK 3-17919 0 i% o U W x x x <br /> 0 0 ? H a0 oa' �w F II n a <br /> Samp Date Time <br /> � <br /> xLocation Description <br /> Num Sampled Sampled >' ° � '-8 6o E. =' <br /> N iw a i iw <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> if i Y <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: 1 ime: <br /> i <br /> J <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 /> EAv 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 />