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a <br /> MW- CHAiri OF CUSTODY <br /> tl'-MRONME14TAL�— AGRICULTURAL <br /> S tial www.fglinc.com <br /> Analytical Chemists Field Copy (3 of ` ) <br /> IIII(111i 35730:02/06/2017 TES ESCRIPTION - See Reverse side for Container,Preservative and Sampling, k;' ,rnr<itiun <br /> Client: San Joaquin Cow'�'t EHD <br /> Address: San Joaquin Co, ironmental Health Dep <br /> Water Quality Div n j t; <br /> Atm:Rodney Es <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: °4 <br /> 3�— <br /> Contact Person: Rodney Estrada d 2 <br /> Cn <br /> Project Name: O w <br /> Purchase Order Number: U w c _ W <br /> Quote Number: ST 20160309-01 w <br /> $ P' E F o E~ <br /> Sampler(s) V w 0 a A <br /> * .2 Cn x <br /> M � <br /> Sampling Fee: Pickup Fee: a O ;J a O D o <br /> Compositor Setup Date: ! I Time:_I_ E a z p z O z <br /> Lab Number: STK 3-17919 0 Cn o c v <br /> o F oG <br /> Samp Date Time 6 <br /> Num Location Description Sampled Sampled >1o E o o o �, n. <br /> P P F. a OG oaO <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Dace: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratoy 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 /> Acne: (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 />