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CHmri OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL Special www.fglinc.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 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> C7 W <br /> Contact Person: Rodney Estrada <br /> Project Name: 3 o� V) a <br /> Purchase Order Number: <br /> w <br /> ¢ x a <br /> Quote Number: S1'20160309-01 � x N <br /> g H o E- <br /> w a °° A <br /> Sampler(s) , o &n z >, O •a <br /> Ga d`q x <br /> Sampling Fee: Pickup Fee: o " 0 a <br /> SMO b B E <br /> Compositor Setup Date:_/_/_ Time:_/_ `E z O •o z „ „ A E <br /> 0 5 w <br /> Lab Number: STK 3-17919 o <br /> CIO <br /> a T <br /> ° o a? F fs O •• is H II <br /> Samp Date Time r. <br /> Location Description -50 <br /> O °o0 <br /> Num Sampled Sampled rU <br /> A) <br /> -• C7 N ii is. <br /> 1 G DW <br /> Remarks: Rclinyuished Date: Timc: Relinquished Dain: Time: Relinquished Date: i'imc: <br /> Received By: Date: Tim Received By: Date: Time: Received By: Date: Time: <br /> (jig' tQ V (22 <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 /> s <br />