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- -_ CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side fm-Container.Preservative and Samplin.- mformarn,n <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Atm:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> � w 3 <br /> Contact Person: Rodney Estrada L Q ¢ nF <br /> t \ f� <br /> Project Name:�•�,�1 t. ��. _ �ti \"� � � � C;, <br /> Purchase Order Number. <br /> Quote Number: ST 20160309-01 <br /> _ E F00 <br /> �o F <br /> Sampler(s) vWi z >, O Q <br /> l * V) a <br /> co <br /> Sampling Fee: Pickup Fee: x F <br /> 0 u v N m V <br /> Compositor Setup Date: _/ / Time: / E a z, p y 4 z E <br /> n E oz z fs. Q F <br /> Lab Number: STK 3-17919 0 a a b x x x <br /> Sam Date Time p � =o o <br /> Num Location Description Sampled Sampled " ' 15 b ° ^' � '^ <br /> I P [ }s. _: iz <br /> I G DW 1 1•I,l <br /> Remarks: Relinquished Date: Time: Relinquished Dmc: l imc: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office& Laboratory Office&Laboratory Office&Laboratory <br /> 853 Cdrporation 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 />