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CHAIN OF CUSTODY <br /> FGL <br /> ENVIRONMENTAL — . , Special www.fgUnc.com <br /> Analytical 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 a <br /> Atm:Rodney Estrada y <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodn strada A <br /> Project Name: (�J � <br /> j,icit� r L/ I a _ <br /> Purchase Order Number: > 04 a: uj <br /> ¢ <br /> Quote Number: ST 20160309-01 N <br /> 00 A <br /> Sampler(s) / ,S (y[�e G' `�1 U * aZ�i C4 °x a^. 0 <br /> Sampling Fee: Pickup Fee: 5 v o a a <br /> Compositor Setup Date: / ! Time: / E L Z p a °' z O z <br /> E <br /> o� o Gz w ca <br /> Lab Number: STK 3-17919 v w T S O a a c x <br /> o F a: E II <br /> Samp Location Description Date Time o, o U '0-5 c N 0 w, 2 c. y <br /> Num Sampled Sampled � E. a M CIO V <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recgt d By: IDate: 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 />