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CHAIN OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists Field Copy (3 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 /> Atm:Rodney Estrada p; <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> 0. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> Purchase Order Number: V W ua <br /> Quote Number: ST 20160309-01 <br /> E o F- <br /> 00 <br /> Sampler(s) o ,w z T Q <br /> U = O 0 ? O <br /> oii * o O <br /> E. QO W <br /> Sampling Fee: Pickup Fee: S <br /> _ N M N <br /> Compositor Setup Date: /_/ Time: /_ E z O .o z c OZ w 5 A H <br /> Lab Number: STK 3-17919 o a a � U x N^ x x <br /> 0 0 <br /> Samp Date Time - n 7� -60 <br /> Location Description oSam led � O UNum Sampled <br /> o =7 x b <br /> I u.-: u. u. <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 />