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CHAIN OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 3;730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County EIID } Q <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> s� <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> Project Name: vw M v, <br /> Purchase Order Number: 3 a uj <br /> Quote Number: ST 20160309-01 N <br /> Sampler(s) E z T o <br /> x <br /> Sampling Fee: Pickup Fee: ° ? <br /> N x F <br /> Compositor Setup Date: / / Time: /_ z o z u C] E <br /> 0 <br /> Lab Number: STK 3-17919 0 w ii T <br /> >O a y^ a fl <br /> Samp Date Time •5 , o G o v <br /> P P <br /> led Sampled " x <br /> Num Location Description Sam ° 5 <br /> l G D"' <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&Laboratony 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 />