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CI MN OF CUSTODY <br /> Special www.fglinc.com <br /> ENVIRONMENTAL AGFUCULTURAL <br /> Analytical Chemists Customer Copy (2 of 3) <br /> �III�'I'III'llllll'I'II'III IIII�IIIIIIIIIIIIIIIIII 35730.02/0612017 TEST DESCRIPTION - See£,everse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD - <br /> Address: San Joaquin Co.Environmental Health Dep; a <br /> Water Quality Division a <br /> Attn: Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> C7 w <br /> Contact Person: Rodney Estrada A Q <br /> a a <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: Sr 20160309-01 y Q c <br /> 00Sampler(s) 0 � z <br /> o 0 4 04 Q p `�°° W <br /> Sampling Fee:T Pickup Fee: ; cCd <br /> a^i cNa is d z y <br /> Compositor Setup Date:_/_/_ Time:_/_ o, z O d o z z Z <br /> Lab Number: STK 3-17919 U x w <br /> Samp Date Time <br /> Location ocation Description Sampled Sampled <br /> w w0 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Rrceked B%: Date: Mime: Received By: Date: Time: Received By: Date: Time: <br /> 1 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Labord= <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 Faxs(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 />