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_ CHAIN OF CUSTODY <br /> TMKONMENTAL AGRICULTURALSpecial www.fglinc.com <br /> Analytical Chemists Cl_istomer Copy (2 of 3) <br /> 11111 1111i 1111111111 IN IN 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 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> c7 ua <br /> Contact Person: Rodney Estrada Q <br /> Project Name: 1 ,\a y v0 I <br /> n1 <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 o a ¢ o <br /> 00 <br /> Sampler(s) _ fi w z y O A <br /> U * a rn O <br /> o p y d p `o W <br /> Sampling Fee: Pickup Fee: 5 c c aC4 c <br /> a �Z t°O bd <br /> Za :3 E <br /> Compositor Setup Date:_/_/_ Time:_/_ fi o, z O a; o =z u <br /> rn E ch c_ fiM w A F <br /> ca <br /> Lab Number: STK 3-17919 0 CIO is U a I iu a a <br /> a <br /> Date Time 0 <br /> Mo a o <br /> amp v x b <br /> Location Description <br /> Num Sampled Sampled E p pq W O U r, 0 <br /> 1 {� G DW :` <br /> Remark,: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Datc: Time: Received By: Date: Time: Recened 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 />