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CHAIN OF CUSTODY <br /> Y _- Special www.fgUinc.com <br /> Analytical Chemists_ Field Copy (3 of 3) <br /> 11111111 35731:02/06/2017 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. g <br /> Stockton,CA 95205 c <br /> Phone: (209)468-0331 Fax: W a <br /> Contact Person: Rodney Estrada Q <br /> Project Name: vW, 0 <br /> Purchase Order Number: x <br /> d W d a <br /> Quote Number: SI'20160309-01El <br /> N x <br /> Sampler(s) 0 V) z T <br /> eo O h O <br /> Sampling Fee: Pickup Fee: .5 ; c L a <br /> a <br /> Compositor Setup Date:_/_/_ Time: / E o z O x a <br /> v� <br /> Lab Number: STK 3-17919 0 (2 ii <br /> 0 0 > <br /> Samp Date Time �S Q <br /> Num Location Description Sampled Sampled E~ a m oC O w <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <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 />