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Special <br />CHAm OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3) <br />Corporate Offices &Laboratory Office & Laboratory Office & Laboratory <br />35730:02/06/2017 <br />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 />j <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada <br />Project Name: <br />C7 <br />W <br />Y <br />o <br />W <br />Purchase Order Number: <br />U <br />C <br />W <br />Quote Number: ST 20160309-01 <br />Eo <br />H <br />Sampler(s)O12) <br />O <br />Q <br />? <br />a <br />v� <br />g4 <br />p <br />�a <br />o <br />x <br />Sampling Fee: Pickup Fee: <br />a� <br />Compositor Setup Date: / / Time: / <br />E <br />y <br />z <br />p <br />n' <br />�' <br />° O <br />~� z <br />Y <br />E <br />0 �% <br />E <br />a <br />a <br />COO <br />z o <br />cz <br />w <br />Q <br />F - <br />Lab Number: STK 347919 <br />0 <br />0 <br />�' <br />F <br />a 0 <br />a <br />o <br />� a <br />E E <br />H II <br />a <br />a <br />Samp <br />Date <br />Time <br />PE¢ <br />a i <br />v <br />❑ <br />o x <br />o <br />v <br />Location Description <br />' <br />° <br />° <br />o <br />U <br />0a <br />Num <br />Sam led <br />P <br />Sampled <br />P <br />F• <br />° <br />a <br />cd <br />ca <br />coo <br />ca O <br />N <br />U <br />W) <br />G <br />DW <br />1 <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Remarks: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />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 />