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CHmri OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 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 <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. g <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> c7 A Cn <br /> Contact Person: Rodney Estrada Q S <br /> Project Name: O <br /> Purchase Order Number: <br /> Quote Number: Sr 20160309-01 N a `" <br /> 0. E <br /> Sampler(s) c z T <br /> U * °' a <br /> * :6 �a <br /> o o �� o <br /> Sampling Fee: Pickup Fee: 5 o a <br /> c <br /> Compositor Setup Date:_/ /_ Time: /_ E z O w <br /> rn E i�v� A <br /> Lab Number: STK 3-17919 0 ii as <br /> 0 0 > <br /> Sarup Date Time <br /> F. ¢�o T Mocaonescrpon o Num Sampled Sampled <br /> a t0 uC O w v <br /> 0 Travel Blank G LBWi`.- <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 />