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-=_ CI imri OF CUSTODY <br /> ` Special www.fglinc.com <br /> Analytical Chernists Field Copy (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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> C7 * a <br /> A rA <br /> Contact Person: Rodney Estrada d v <br /> = x <br /> Project Name: C7 0 <br /> Purchase Order Number: U w ua <br /> B W d a a <br /> Quote Number: ST 20160309-01 .N <br /> E- <br /> Sampler(s) o w z T °D Ca <br /> c a Q 0 \$ pC <br /> Sampling Fee: Pickup Fee: c b t o� a n F- <br /> Compositor Setup Date: / / Time: / E a z p Z °O v E <br /> -- v� E ov�i oz z w D F- <br /> Lab Number: STK 3-17919 o w a T U M x -� a a <br /> oaha �a F II <br /> Samp Date Time �s 'u '- c E :9 x a <br /> Location Description o t5 15.E o o C, R 04 <br /> Num Sampled Sampled F a cn w O V= O N <br /> 1 G DW 1 1,1,1 <br /> Rrm;u6>: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bc: Date: Tine: Received By: Date: Time: Received By: Date: -1 imc: <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 /Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />