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IMM CHAIN OF CUSTODY <br /> Special www.fglinc.com <br /> -ENVIRONMENTAL — AGRICULTURAL <br /> Analytical Chernists Field Copy (3 of 3) <br /> 35731:02/06/2017 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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q S a <br /> rx <br /> Project Name: voi y <br /> Purchase Order Number: 3 a <br /> Quote Number. SI'20160309-01 a "' <br /> N E <br /> a w. <br /> Sampler(s) o n Z O <br /> L a, <br /> o O <br /> ^a a <br /> Sampling Fee: Pickup Fee: G ° ; o <br /> Compositor Setup Date: _/ / Time: i_ E a < C a a Q <br /> 0 <br /> Lab Number: STK 3-17919 0 Q <br /> C%: v p <br /> C)> <br /> Samp Date Time os ; y <br /> Num Location Description Sampled Sampled � O w <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: 'rime: 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 />