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CHAIN OF CUSTODY <br /> FGL <br /> ENVIRONMENTAL �-- AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 111111111111111111111111111111 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 .i <br /> Attn: Rodney Estrada 3 <br /> 1868 East Hazelton Ave. ° <br /> Stockton,CA 95205 3 —° <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada ro Q <br /> Project Name: <br /> Purchase Order Number: &.-;-J � C <br /> iE w <br /> Quote Number: ST 20160309-01 o x ¢ E x o F= <br /> a w a 2 <br /> Sampler(s) o vwi z <br /> * x <br /> 0 w <br /> Sampling Fee: Pickup Fee: a" o a'; Q <br /> Compositor Setup Date: / / Time: /_ E d z Oa z v O v z <br /> E o� o ' Kz u Q F- <br /> Lab Number: STK 3-17919 o w a a a a = a Q <br /> o o= H II <br /> lamp Location Description Date Time � p o o N c� v a <br /> Num Sampled Sampled � E- w m =O U-- C7 <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 />