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Crimm OF CUSTODY <br /> ENVIRONMENTAL UM AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 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 a <br /> Attn:Rodney Estrada y a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada A d <br /> Project Name: a <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> E o H <br /> 00 <br /> Sampler(s) o w z . O Q <br /> p4 ani x <br /> * o O Cy a0 D W <br /> Sampling Fee: Pickup Fee: E °" ; o A 1'ti Q <br /> a y c sa a'� v� ;abz <br /> Compositor Setup Date:_/_/ Time: 0 E <br /> z_/_ 6 a z O o z „ „ - <br /> F- <br /> Lab Number: STK 3-17919 o C'2 p^ p, <br /> o F w' <br /> Samp Date Time 0 °o-Location Description Sampled Sampled Num o M" o„ <br /> d <br /> 0 ca u _: u is. <br /> I G DW <br /> Remarks: Relinquished// Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Receiv Date: Time Received By: Date: Time: Received By: Date: Time: <br /> � mb IifU <br /> _Coruorate 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 />