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- -= CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> IN357 0:02/06/2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Samplin.- information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> c? w 3 <br /> Contact Person: Rodney Estrada A <br /> Project Name: <br /> Purchase Order Number: > 54 _ w <br /> Quote Number: ST 20160309-01 �i�1}1t�1 o w ¢04 � f� <br /> aEi E opo <br /> Sampler(s) (A O O U V) p <br /> z ' A <br /> Sampling Fee: Pickup Fee: c °' o <br /> Compositor Setup Date:_/_/ Time:_/_ c, z O ; z „ 2 <br /> n E o� o gz fs. A EH <br /> ULab Number: STK 3-17919 0 - cc -mO a;, o o =Samp Date Time � 'I o �N oLocation Description 6u's °Num Sampled Sampled ° Cd <br /> a <br /> a W L>a O U <br /> �.At G DW 1 1,1.1. l` 1'► 1 u3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recelvted By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&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 />