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CHMN OF CUSTODY <br /> FGL <br /> nVIRONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chernists <br /> Field Cop) (3 of 3) <br /> 11111111111]11111111111 1�1!1 1111 IN 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: Satz Joao,,dn County EHD <br /> Address: San Joaq':n Co. Environmental Health Dep <br /> Water QL,dity Division 3 .a <br /> Attr: Rodney Estrada <br /> 1868 Eas Hazelton Ave" 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> C7 Ii1 3 <br /> Contact Person: Rodney Estrada Q ¢ L <br /> C7 W a~i p n <br /> Project Name: <br /> x 3 <br /> Purchase Order Number: ; w ¢ a <br /> Quote Number: ST 20160309-01 N a N <br /> EV 00 <br /> o H <br /> Sampler(s) U w z Ca <br /> c0. Qm 0 �. <br /> Sampling Fee: Pickup Fee: <br /> o a� <br /> Compositor Setup Date: / / Time: _/ E a z p a i '—' 9 0 v z E <br /> z <br /> Lab Number: STK 3-17919 0 iE <br /> x x <br /> Samp Date Time -qQ = E I>of <br /> Num Location Description SampleSam led " ' ° � O� <br /> P P - a ai m 0 <br /> I G DW 1 t.l.l <br /> Remarks: Relinquished Date: Time: Relinquished Datc: Time: Relinquished Datc: 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 />