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- - CHAIN OF CUSTODY <br /> ,FMMONMENTAL AGRICULTURAL-`a Special www.fglinc.com <br /> Analytical Chernists 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 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> a <br /> Contact Person: Rodney Estrada Q d <br /> � x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E o F <br /> Sampler(s) o w Z > O A <br /> V * 0 ° O <br /> Ca ¢- x <br /> Sampling Fee: Pickup Fee: c <br /> a o xa a .v Z Y <br /> Compositor Setup Date:_/ / Time: /_ Z O = Z [ZZ w Ca F= <br /> 0 <br /> Lab Number: STI{ 3-17919 0 V2 ii a. U x N x x <br /> > <br /> 94 <br /> Samp Date Time e <br /> " w w w0 0 =V c <br /> of" 8 5 t o <br /> Num Location Description Sampled Sampled 0 I " or" N x <br /> t7 N <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 />