Laserfiche WebLink
CHAIN OF CUSTODY <br /> FGZ Special www.fglfnc�com <br /> Analytical C11cmists �. Customer Copy (2 of 3) <br /> IVIIIVIIIIIIIIIVIIIVIIII'IIIVIIIIIIIII'I '� 35730:02/06/2017 TEST DESCRIPTIO'-,, - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental II ;Ith Dep <br /> Water Quality Division a <br /> Atm:Rodney Estrada s �; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: W x <br /> Contact Person: Rodney Estrada p A <br /> Project Name: .55 N �1 K 1"_ \'V vWi v0 � <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> N <br /> 00 <br /> S pler(s) o vWi Z T 5 Q <br /> Pok V r�+ <br /> V w f U s u v� moi,^ N x <br /> p <br /> a M N <br /> Sampling Fee: Pickup Fee: ° ? <br /> c <br /> Compositor Setup Date: / / Time: / o z p oG o z 0 z <br /> -- -- E o Ez A F- <br /> Lab Number: STK 3-17919 0 (n <br /> b ?i <br /> o H <br /> S " p ' -0-0 Date Time 60Location Description Sampled Sampled c°O ad7 o- <br /> b x ^ b <br /> Num P. <br /> 1 _ 'i1; ;`j 'j J G DW <br /> Remarks: Relinquishedl'- `1 l Ca Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: Date: Time: Received By: Date: Time: Received Bq: Date: Time: <br /> Cproorate 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 />