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FGL CHAIN OF CUSTODY <br /> A�NIMWNMENTAL AGRICULTURAL <br /> Special A www.fglinc.com <br /> Analytical Chemists <br /> {i <br /> Field Copy (3 of 3) <br /> IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII IIII _ 35730:02/06/2017 TEST DESCRIPTION See reverse side for Container.Preservative and Sampling information <br /> Client: San Joaquin County EHD 3 <br /> Address: San Joaquin Co. Environmental Health Deh <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: 4y x <br /> Contact Person: Rodney Estrada <br /> Project Name: rn <br /> Purchase Order Number: > <br /> Quote Number: ST 20160309-01 <br /> E o F <br /> Sampler(s) o W z T Q O A <br /> U * = aG O <br /> Sampling Fee: Pickup Fee: [ a O a O <br /> Compositor Setup Date: / / Time: / E a z p ='� �O ^� � E <br /> Lab Number: STK 3-17919 0 ro a y as x = x x <br /> 0 0 � F, a0 1a <br /> a o C oSamp Date Time 'S 75 Location Description > O ° It\um Sampled Sampled v x <br /> w w O U C7 <br /> f G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date. Time: <br /> Received By: 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 />