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Special Cxmri OF CUSTODY <br /> - P www.fglinc.com <br /> ENVIRONMENTAL Analytical Chemists Customer Copy (2 of 3) <br /> 35730:0210612017 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 I <br /> Water Quality Division L <br /> Attn:Rodney Estrada — <br /> 1868 East Hazelton Ave. a <br /> Stockton,CA 95205 3 —° <br /> a <br /> v <br /> Phone: (209)468-0331 Fax: w t>r <br /> Contact Person: Rodney Estrada A <br /> � x <br /> C7 W o <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 H N <br /> o00 <br /> E• <br /> Sampler(s) Z A <br /> x _? O a O <br /> ¢0 e <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/ /_ Time:_/_ �, z O 0 .2_z „ m <br /> E c� o� z u A E~ <br /> Lab Number: STK 3-17919 0 �% p Q, w V m x n <br /> ` >, d 0. w H II Q. c. <br /> Samp Date Time Q �, a o c o 32 x ° b <br /> Num Location Description Sampled <br /> led Sam > ° ° ° <br /> P P � k- R M W O U <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Receivcd 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 />