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CHAIN OF CUSTODY <br /> OVIRONMEN AC Special www.fglinc.com <br /> Analytical Chemists <br /> f ield Copy (3 of 3) <br /> �������������������������������������������i���������� � 3:•730:02/06 1117 TLST DESC'k_:�l'TION - See Reverse side for C,'stainer. Pr enative and Sampling informant : <br /> Clie�a: San Joaquin County EHD�; <br /> t <br /> Address: San Joaquin Co. EnvironmFOtal Health Dep <br /> - Water Quality Division <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> w 3 �4 _ <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: v W v ua <br /> Quote Number: ST 20160309-01 u w <br /> v x EV 00 <br /> o F� <br /> Sampler(s) o vwi z > O Q <br /> 0 x <br /> Sampling Fee: Pickup Fee: <br /> o a' <br /> Compositor Setup Date: / Time: / E a z p v =' z O z E <br /> o ❑z <br /> Lab Number: STK 3-17919 0 a <br /> Samp Date Time E- n b � '�� = of u o 'D <br /> Num Location Description Sampled Sampled ° <br /> P P w a�O r-4 c w <br /> 1 G DW I l,l,l <br /> Remark,: Relinquished Date: time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Dare: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 863 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 />