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ENVIRONMENTAL AGRICULTURALwww.fglinc.com <br />Che <br />Special <br />tiYAiid4�11b1eiiAlJY:+.Mtyr'_.. <br />CHAm OF CUSTODY <br />Laboratory Copy (1 of 3) <br />IIIIIIAnalytical <br />I IIIIIIIIII�IIIIII IIIIIIIIIIIIIIIIIIIIIII��IIIII��111L <br />Client: San Joaquin County, EHD <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />3 <br />1868 East Hazelton Ave. <br />II <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />a <br />x a <br />Contact Person: Rodney Estrada <br />Q <br />Project Name: r J }� <br />69 <br />Purchase Order Number: S �=C T9,1 <br />v <br />Quote Number: ST 20160309-01 <br />W�r <br />u ¢ <br />a <br />Sampler(s) I _E <br />v' v {�%� c1 <br />x <br />o w z " <br />c/) <br />- <br />G1 <br />C� <br />U <br />.a <br />Sampling Fee: Pickup Fee: <br />�_ a° <br />o x <br />Compositor Setup Date: —/_/ Time: <br />/ <br />d C L <br />E Z <br />'—' <br />dry. <br />; O Z a <br />Lab Number: STK / J g <br />— <br />3-17919 <br />E Li <br />0 °' <br />oz <br />U <br />�z a <br />Samp Date <br />Location Description <br />me <br />0 o F axe <br />o L <br />= o <br />o x <br />Num Sampled <br />Fpled <br />of <br />r, ii : u u <br />I �A Z��t] <br />G DW <br />1 <br />1.1,1 7, S to -50 <br />Remarks: <br />Rej. nquished ) Date: Time: Relinquished 9 Date: <br />Time: Rel' uished Date: Time: <br />110 / '�/��/ t -X- <br />Received By: Date: <br />Time: d By: ate:Time: d B <br />Received y: � .Date: Time: <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Office & Laborato[y <br />2500 Stagecoach Road <br />9ffice & Laboratory Office t Laboratory <br />{ <br />Paula, CA 93060 <br />Phone: (805) 392-2000 <br />Stockton, CA95215 <br />563 E. Lindc <br />Chico, CA 95926 / I9 <br />S tSanta 15 G shen Avenue <br />3isa4 <br />.Phone: <br />C..... ton., cmc e,-,., _. �_,.. ,, �. --- <br />__-_ <br />(209) 942-0182 <br />_' <br />Phone: (5301 343-5818 <br />93291 <br />/n, \ <br />