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CHMN OF CUSTODY <br />Special www fglinc.com <br />Customer Copy (2 of 3) <br />Corporate Offices &Laboratory <br />Office &Laboratory <br />Office <br />&Laboratory <br />Office &Laboratory <br />Office &Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 /Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />35730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling information <br />Fax: (559) 734-8435 <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />ami <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada <br />Q <br />a <br />Project Name: <br />Purchase Order Number: <br />U <br />w <br />a <br />ua <br />Quote Number: ST 20160309-01 <br />='00 <br />o <br />E� <br />Sampler(s) <br />E <br />W <br />Z <br />Ca <br />U <br />un <br />0 <br />� <br />o <br />O <br />•� � <br />O <br />�O <br />W <br />Sampling Fee: Pickup Fee: <br />/ <br />E <br />arq <br />z <br />0 <br />O <br />z <br />Compositor Setup Date: / / Time: <br />O <br />z <br />co <br />cn <br />o� <br />oz <br />w <br />Q <br />H <br />Lab Number: STK 347919 <br />o <br />w <br />a, <br />a <br />U <br />a <br />¢ <br />a <br />a <br />o o <br />i <br />o <br />F II <br />Samp <br />Date <br />Time <br />Location Description <br />o <br />C.)•s <br />a <br />Num <br />Sampled <br />Sampled <br />H <br />a <br />co <br />co 0 <br />U <br />C7 N <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices &Laboratory <br />Office &Laboratory <br />Office <br />&Laboratory <br />Office &Laboratory <br />Office &Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 /Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />