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FGL <br />--�P'1:RONMENTAL --- AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.,fgUnc.com <br />Laboratory Copy (1 of 3) <br />Corporate Offices & Laboratory <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <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 />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />Attn: Rodney Estrada <br />3 <br />a <br />x <br />1868 East Hazelton Ave. <br />, <br />Stockton, CA 95205 <br />3 <br />o, <br />Phone: (209)468-0331 Fax: <br />° <br />Contact Person: Rodney Estrada <br />Project Name: (� <br />Purchase Order Number: _ <br />X41 <br />w <br />3 <br />v^, <br />a <br />W <br />�J <br />Quote Number: ST 2016030`9-01 <br />N <br />E <br />� <br />W <br />w <br />� <br />¢ <br />Z <br />z <br />� <br />E <br />N <br />" <br />x <br />� <br />a <br />n <br />o <br />°O <br />a <br />F� <br />Q <br />o <br />Sampler(s) <br />r <br />�rC\ �,l`c1 <br />01n LAS LV <br />Sampling Fee: Pickup Fee: <br />ci, <br />E <br />� <br />Pr <br />o <br />•�R <br />oro <br />Qo <br />° <br />`� <br />w <br />Q <br />Compositor Setup Date: /_/ Time: / <br />E <br />z <br />p <br />� � <br />�; <br />" �° <br />° O <br />b z <br />& <br />E <br />0 <br />? <br />o. <br />N a <br />� <br />° z <br />U� <br />p z <br />x <br />a, <br />e <br />x <br />x <br />Lab Number: STK 3-17919 <br />✓tel✓Cn <br />0 <br />o <br />y <br />F <br />V <br />Ea. <br />Samp <br />Location Description <br />Date <br />Time <br />° <br />'U o <br />„ a <br />„ <br />b <br />Num <br />Sampled <br />Sampled <br />NF <br />G <br />DW <br />Remarks: <br />Date: Time: Re ' uish d Date: Time: <br />Relinquished Date: Time: <br />Relinquished <br />Ile i ed By: Date: Time: ate: ime: <br />Received By: Date: Time: <br />/35 <br />Corporate Offices & 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 />