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- -= CHAIN OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chemistsa' Customer Copyf2 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 a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> t7 w 3 <br /> Contact Person: Rodney Estrada A Q a <br /> Project Name: <br /> Purchase Order Number: ypa W <br /> Quote Number: ST 20160309-01 W ¢ `" a <br /> 0 A <br /> Sampler(s) \\\\ o vWi z OU C4 IX <br /> .a <br /> p .5 a. d p W <br /> Sampling Fee: Pickup Fee: c w o a o <br /> c o ra w.v ami c 0 .o <br /> Compositor Setup Date:_/_/_ Time:_/_ a z O a =z ;O <br /> E o� o,.., cz w a H <br /> Lab Number: STK 3-17919 0 cn a a -.. V x v' <br /> 0 0 <br /> Samp Date Time p b =o c c b x b b <br /> Num Location Description Sampled Sampled " I � d �� o d a <br /> P P F. a as M O U O N <br /> G DW 1 1,1,1 `1 t 11 VA" <br /> i Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received B}: Date: ATime: 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 1 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />