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CHAIN OF CUSTODY <br /> FGL <br /> AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 11111111111111 Iii <br /> 11111!1111111141 <br /> hil 11111111 IN <br /> I 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 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A d <br /> Project Name: <br /> Purchase Order Number: U w ua <br /> Quote Number: ST 20160309-01 0 ¢ a <br /> E o F <br /> a p 2 :D °O Q <br /> Sampler(s) o z <br /> T <br /> on o <br /> Sampling Fee: Pickup Fee: <br /> Q ° M Lm .dZ a v <br /> Compositor Setup Date: /_/_ Time:_/_ E z O c o z c u Q H <br /> x <br /> Lab Number: STK 3-17919 0 cn a o U x x <br /> ri n a <br /> _ F� II <br /> Samp Date Time E o R u a =o c o 2 x 2 <br /> Num Location Description Sam led Sampled " ' ° ° �' " °N °' ^ ° <br /> P P H a oa w 0 U-- c7 N iZ <br /> I 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 /> 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 />