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KM__ CHAIN OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL <br /> Special E www.fglinc.com <br /> Analytical Chemists Field Cop} (3 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 /> 1868 East Hazelton Ave. - <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada Eli Q <br /> Project Name: <br /> Purchase Order Number: �? w4j _ <br /> - <br /> Quote Number: ST 20160309-01 N W d `94 -�' a <br /> 14 <br /> Sampler(s) o vwi Z T O A <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: / a z O a 'z O ,—b,z °' <br /> 0 o Z A H <br /> 10 <br /> Lab Number: STK 3-17919 0 a o U x h x x <br /> o <br /> Samp DateTime o °' o o x <br /> Num Location Description Sampled Sampled " >' o ro " o`� °'"' -" 9 <br /> P P E• a co M O U is a <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Dare: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> 1 ' Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corpgration 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 /> Qhone: (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 1 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />