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-_=___ CHAiri OF CUSTODY <br /> •• — 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 x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 = <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> Purchase Order Number: ;��1P1 C,N 85236 U w 3 v^: <br /> Quote Number: ST 20160309-0100 <br /> E o E- <br /> Sampler(s) z E w L Ca <br /> {� z N <br /> Sampling Fee: Pickup Fee: <br /> c � � <br /> Compositor Setup Date: / / Time: / E z O = O z E <br /> -z �z � -- <br /> v: E o o E F- <br /> Lab Number: STK 3-17919 o w ii a U a a a <br /> 5amp Date Time -�5 & ;u ' o E <br /> Num Location Description Sampled Sampled <br /> �' ' d ro o <br /> I 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. Undo 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 />