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- = CI- MN OF CUSTODY <br /> ---- <br /> SpecialENVIRONMENTAL AGRICULTURAL www.fgllnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaqufn 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 t <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> c? w 3^ Cn <br /> Contact Person: Rodney Estrada A d 3 <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: SI'20160309-01 <br /> $ w a 8E= o F- <br /> Sampler(s) i U * O A <br /> V ti, 0 vai QM W <br /> Sampling Fee: Pickup Fee: S ; c a,- - <br /> c _ <br /> Compositor Setup Date: / / Time: / —CL z O �' L°O z °' <br /> Lab Number: STK 3-17919 -0 r,% 6y x y x x <br /> bo <br /> amp Date Time <br /> ocation Descriptio ?`6 o G o x <br /> v <br /> Num LSampled Sampled M O <br /> U <br /> 1 G DW <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 /> Cornorate 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 />