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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGMCULTUML Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A Q <br /> Project Name: 4�- \S <br /> Purchase Order Number: ,, w <br /> Quote Number: ST 20160309-01 <br /> 6 o00 <br /> E� <br /> Sampler(s) 0 V) O a A <br /> Sampling Fee: Pickup Fee: .5 ; <br /> Compositor Setup Date:_!_/ Time:_/_ �, z p �' °0 n Y E <br /> z <br /> a oz � Q H <br /> Lab Number: STK 3-17919 0 a a U pq x u <br /> o H a� R H u <br /> a <br /> Samp Date Time X, pLocation Description <br /> Num Sampled Sampled a 7E; <br /> d b <br /> U C7 v iw a u. iw <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 /> -3anta 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 /> t=nv 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 />