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FGL Crimri OF CUSTODY <br /> v <br /> Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 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 3 a <br /> Attn:Rodney Estrada <br /> Es <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-0331 Fax: <br /> C x <br /> Contact Person: Rodney E2strad <br /> Project Name:2.5 3� 7 w V3 cd r;, <br /> Purchase Order Number: � � V <br /> Quote Number: ST 20160309-01 w ¢ <br /> 00 <br /> Sampler(s) o z T O A <br /> U P4 N °x 'L <br /> ¢o w <br /> Sampling Fee: Pickup Fee: <br /> �o <br /> Compositor Setup Date:_/_/_ Time:_/_ rE z O .o z b z b Y <br /> c w A H <br /> Lab Number: STK 3-17919 0 rn a c. U x N x x <br /> 0 0 <br /> Samp Date Time <br /> Ni Location Description Sampled Sampled °' ' ° M td ° '^ <br /> P P >8 F- a M GOO U-- 0 r, iz_: L- L. <br /> �{ �P G DW <br /> Remarks: Relinquished (� t�Date: li Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received B3 : Date: / Time: 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 />