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- -= CHmri OF CUSTODY <br /> . - Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION See Reverse side tl+r Container. Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Atm:Rodney Estrada n; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: a <br /> Contact Person: Rodney Estrada cd A <br /> Project Name: �� <br /> cQQ <br /> Purchase Order Number: > <br /> Quote Number: ST 20160309-01 y a ¢ 'n <br /> E <br /> Sampler(s) 0 z T <br /> oO ca e <br /> Sampling Fee: Pickup Fee: c ° �`= O <br /> u M a <br /> o <br /> Compositor Setup Date: / /_ Time:_/ E fl z p Ix <br /> -- <br /> Lab Number: STK 3-17919 o w E T -t p <br /> 0 0 <br /> Samp Date Time -S Q, '� ¢ E <br /> Num Location Description Sampled Sampled H a° ra w"O w 0 <br /> 0 fravel Blank G LBW 4L <br /> 1 j G DW 4 <br /> Remarks: Relinquished ` Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: / Time: Received By: Date: Time: Received By: Date: Time: <br /> i <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/Ag Fax:(805)392-2063 Fax: (209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />