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7E�NV�IRODNUMENTAL - AGRICULTURAL Analytical Chemist:: IIIIIIIIIIIIIIIIIII1111 I 1 Special l LST DLSCR1PTl0N CHAIN OF CUSTODY www. fglinc. coat Customer Copy (2 of 3)' erre ,ide for0,m:tincr. Prem\ati\e and Sanip linc iii lormait, it —i Client: San Joaquin County EHD Office & Laboratory Office & Laboratory 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 Address: San Joaquin Co. Environmental Health Di � r Water Quality Division Attn: Rodney Estrada 3 1868 East Hazelton Ave. 3 Stockton, CA 95205 3 a Phone: (209)468-0331 Fax: Contact Person: Rodney Estrada L O Project Name: w Purchase Order Number: w5. a = Quote Number: ST 20160309-01 " N w z E ti o 00 H Ca Sampler(s) O v V) * y T Q a a x Sampling Fee: Pickup Fee:conQ Compositor Setup Date: / / Time: _/ E a z O y n— CO y <a z E „z ti a Lab Number: STK 3-17919 o v H a a a Samp Description Date Time 7S o x v°oLocation Num Sampled Sampled ( i _: U. i71 I G DW l L1.1 Remarks: Relinquished Date: 'I ime: Relinquished Date: Time: Relinquished Date: Time: Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: Corporate Offices & Laboratory Office & Laboratory Office & Laboratory 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 Office & Laboratory 3442 Empresa Drive, Suite D San Luis Obispo, CA 93401 Phone: (805) 783-2940 Fax: (805) 783-2912 Office & Laboratory 9415 W. Goshen Avenue Visalia, CA 93291 Phone: (559) 734-9473 Fax: (559) 734-8435