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CHAIN OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL Special www.fglinc.com <br /> Analytical Cliernists Field Copy (3 of 3) <br /> 35731:02/06/2017 TEST DESCRIPTION See Reverse side for Container. Preservative and Sampling informaii-I <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental I tealth Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =' <br /> Phone: (209)468-0331 Fax: x <br /> C? w <br /> Contact Person: Rodney Estrada A d <br /> i Project Name: <br /> Purchase Order Number. w <br /> Quote Number: ST 20160309-01 � aLn <br /> E <br /> Sampler(s) E w z <br /> U v> > O <br /> Sampling Fee: Pickup Fee: " °' p0 <br /> oc <br /> Compositor Setup Date: /_/ Time: / —= z O v <br /> v E <br /> Lab Number: STK 3-17919 o a Q v Q <br /> 71 <br /> > v O <br /> Samp 1):11C Time <br /> Location Description <br /> Num Samplcd Sampled F a Gq cc O w 't <br /> Il travel Blank G LBW 4 <br /> I G DW -t <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: lime: <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 />