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CHmri OF CUSTODY <br /> F—rTVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists e <br /> 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 p; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> C7 w 3r- <br /> Contact Person: Rodney Estrada <br /> U <br /> til . l\A w g x <br /> Project Name: <br /> Purchase Order Number: ¢ � a a w <br /> Quote Number: ST 20160309-01 0 <br /> E o N <br /> Sampler(s) E w z N A <br /> u.a c x <br /> ❑a d � <br /> w <br /> Sampling Fee: Pickup Fee: <br /> d <br /> O UTime: z Compositor Setup Date: Ea moai <br /> z O �, <br /> OA F <br /> Lab Number: STK 3-17919 0 (.1a u ra w x x <br /> N <br /> 0 �M1� F II a a <br /> Samp Date Time 6 U '= Irl N <br /> Location Description ^o o <br /> SampledNum Sampled <br /> ° b <br /> I W m O U= <br /> t G DW 1 1,1,1 <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 /> 4 -7/11 154D. <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 />