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7�EDMRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIn OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3) <br />Corporate Offices & Laboratory <br />35731:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Address: San Joaquin Co. Environmental Health Dep <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />i <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />F <br />Phone: (209)468-0331 Fax: <br />C7 <br />W <br />3r <br />a <br />Contact Person: Rodney Estrada <br />A <br />� <br />Project Name: <br />x <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />T <br />0 <br />Samplers)z <br />U <br />eu <br />0 <br />Sampling Fee: Pickup Fee: <br />04 <br />t <br />; <br />c <br />a <br />Compositor Setup Date: _/_/ Time: <br />0 <br />z <br />a <br />O <br />c a <br />A <br />a p <br />Lab Number: STK 3-17919 <br />Sam p <br />Location Description <br />Date <br />Time <br />� <br />a <br />c <br />� <br />a <br />M <br />�¢ o <br />Num <br />Sampled <br />Sampled <br />� <br />F. <br />a <br />oa <br />w O <br />m It <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />1 <br />G <br />DW <br />1 <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: I ime: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: I ime: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />