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IN"k CHAIN OF CUSTODY <br /> .,ONMENTAL — AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists 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 a <br /> Atm:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: <br /> C7 Q 3 <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> Purchase Order Number: U w v uj <br /> Quote Number: ST 20160309-0100 <br /> Sampler(s) o vwi z > O Q <br /> U = a a O <br /> x <br /> o E� ao ° W <br /> Sampling Fee: Pickup Fee: c O' ;, o ?� o <br /> Compositor Setup Date: /_/ Time: z E O v z <br /> to E .. V] O ' C i3. Q (•-' <br /> Lab Number: STK 3-17919 0 Icc <br /> n o a U x x <br /> > ° E <br /> Samp Date Time Q0 'c° =oLocation Description " '' ° U � °-f °c o <br /> Num Sampled Sampled wd 0 Uv x° <br /> 0 <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 />