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FM_ CHAIN OF CUSTODY <br /> ENVIRONMENTAL - N AGRICULTURAL- Special www.fglinc.com <br /> Analytical Chennists T7;.,1(1 ('np\ (I ,.)F Z) <br /> IIIIIIIII II I 'IIIII IIIIII III I IIIIIIII IIIIIIII') 35730:02/06/2017 1 FS I- DESCRIPTION See Reverse side for Container. Presr \ative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 .J <br /> Atm: Rodney Estrada y 0. <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: x <br /> � w 3 <br /> Contact Person: Rodney Estrada Q <br /> � a <br /> Project Name: b v b <br /> Purchase Order Number: v 3oq a uw <br /> Quote Number: ST 20160309-01 a d a <br /> 00 <br /> Sampler(s) v z T O Q <br /> v n a a O <br /> O W <br /> Samplinn Fee: Pickup Fee: <br /> Compositor Setup Date: /_/_ Time: / z p o z c w Q <br /> 0 <br /> Lab Number: STK 3-17919 "o w ii a v a a y a <br /> 0 <br /> Samp Date Time -5 "'5 IU = o c E x <br /> Location Description <br /> Sampled SampledNum <br /> CQ O v C7 cq <br /> 1 G DW <br /> Remarks Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: lime: 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 />