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CHAIN OF CUSTODY <br /> FGL <br /> ENVIRONMENTAL • . Special www.fgUnc.com <br /> Analytical Chemists <br /> Customer Copy (2 of 3) <br /> VWIllL1UILll ''i� 730:02/06/2017 TE;T DESCR' TION - See Reverse side for G ;:iainer, Preservative and Samp1m,,, informam <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environme?ital Health Depf <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada R; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 = <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q ¢ ( a <br /> Project Name: � n <br /> Purchase Order Number: <br /> uS <br /> Quote Number: ST 20160309-01 Q �_ o <br /> 00 <br /> Sampler(s) z Ca <br /> S 1110 o p 50. dp W <br /> t? xF <br /> Sampling Fee: Pickup Fee: _ � 0 � a.e4 <br /> q �M <br /> Compositor Setup Date:_/_/ Time: / E z O d o z z w A H <br /> 0 <br /> Lab Number: STK 3-17919 0 a fl ro U x x x <br /> r4 O o— <br /> Samp Date Time -S u L - -9 c b x <br /> Num Location Description Sampled Sampled 2, r a 0 <br /> I G DW I LiA <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 1615 <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> �4.,P� <br /> Corporate Offices&Laborafory 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 />