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FGL CHmri OF CUSTODY <br /> NVI <br /> . S p eci: l www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 1111 11I11111IN 35730:02/06/2017 TEST DESt RIPTION - See Reverse side for Container, Preservative and Sampling inform lien <br /> Client: San Joaquin Counq E}::) <br /> Address: San Joaquin Co.Enviroi'.cental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave.f 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> tj w 3 <br /> Q on <br /> Contact Person: Rodney Estrada <br /> C7 W o ? <br /> Project Name: <br /> Purchase Order Number: <br /> g w ¢ cd a <br /> Quote Number: ST 20160309-01 CAN <br /> Q W R F � F- <br /> Sampler(s) E LIJ z > O Q <br /> U C v a a O <br /> y O c as d" 0 W <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/ / Time: / E z O oa z °z O z E <br /> E � o z Q i- <br /> Lab Number: STK 3-17919 -o c o v <br /> a <br /> O. y a. a <br /> Lq= F- II <br /> Samp Date Time _ of 'n x 'a <br /> Num Location Description Sampled Sampled " ' ' ' o <br /> 1 G DW <br /> Remarks: Relinquished Datc: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Datc: Time: Received By: Date: Tinto: 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 />