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FGL GRAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> AnalVtical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a <br /> L <br /> Phone: (209)468-0331 Fax: <br /> v w 3 <br /> Ca ou y <br /> Contact Person: Rodney Estrada Q pE <br /> Project Name: <br /> wee � <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a <br /> E o F- <br /> n. <br /> Sampler(s) o V) z > O Q <br /> U * 2 Ln O <br /> `e'kGT C" 0 c a Q x <br /> Sampling Fee: Pickup Fee: S ° o� <br /> LL o L' N M N <br /> Compositor Setup Date: / Time: E o z p zz <br /> v E Ez <br /> Lab Number: STK 3-17919 0 ii a U x x <br /> 0 0 <br /> Samp Date Time r� n = o o x <br /> Num Location Description Sampled Sampled <br /> I l <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: 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 />