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mCHAIN OF CUSTODY <br /> • Special www.fglinc.com <br /> Analytical Chernists 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 a <br /> Attn:Rodney Estrada 3 e; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 =" <br /> a <br /> Phone: (209)468-0331 Fax: <br /> C7 ua � <br /> Contact Person: Rodney Estrada Q Q E a <br /> Project Name: C7 v, <br /> Purchase Order Number: U w en w <br /> Quote Number: ST 20160309-01 a ¢ r N <br /> N E00 <br /> o H <br /> Sampler(s) U z T a ^ O <br /> N a <br /> * x <br /> Qo ° w <br /> xF- <br /> Sampling Fee: Pickup Fee: <br /> C i N M y <br /> Compositor Setup Date: / / Time: /_ Zz O a o Z 0 -6 Q H <br /> ° v <br /> Lab Number: STK 3-17919 w a a y E a <br /> a v a ¢ <br /> H u <br /> Samp Date Time `� c x ° <br /> v <br /> Num Location Description Sampled Sampled F ) <br /> C. <br /> w <br /> 1 G DW 1 1.1.1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Data Timc: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory i 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 />