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- — CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTUML Special www.fglinc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 1111 IN 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 /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: RodneyEstrada11 A d <br /> Project Name: 'Z&-793 N ��Ate'G�lC O 3 v°, <br /> Purchase Order Number: <br /> w ¢ V) a uS <br /> Quote Number: ST 20160309-01 N p4 N <br /> 0 <br /> Sampler(s) o z A <br /> r�(146,1((D (plc,a 4AlZ U x a o <br /> 0 <br /> Sampling Fee: Pickup Fee: c a' O , <br /> ' a'� o <br /> Compositor Setup Date: /_/_ Time:_/_ �, z O c �, o z d z ? c° <br /> Lab Number: STK 3-17919 0 C2 ii <br /> 0 0 Si F a� Ea �a F II a a <br /> Sam p Date Time T o o N O c <br /> Num Location Description Sampled Sampled 1v F. a ao ca O U <br /> G DW 1 1,1,1 r1 <br /> Remarks: ReliQquished 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 />