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CHAIN OF CUSTODY <br /> ---- Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> VIII II VIII IW��ll�l)llllllllUtJlu�� 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 <br /> Attn:Rodney Estrada aa' <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada d <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> 00 <br /> S;pler(sU W a a.. Oa <br /> a o ¢o w <br /> Sampling Fee: Pickup Fee: 5 c ; oro a � o <br /> Compositor Setup Date: /_/_ Time: z O a: o ^�z O <br /> cin E z <br /> o o g <br /> Lab Number: STK 3-17919 0 Cn <br /> ro 5 o. U m :R x ti n x x <br /> vOa <br /> Samp Date Time5 a -ZU. ~ o o x <br /> Location Description � > o M 0 o f d o 0 <br /> Num Sampled Sampled F- a as w O w <br /> G DW <br /> Remarks: Relinquished t Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Rece' ed By: l/ 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 />