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:_ CHAiri OF CUSTODY <br /> -AGRICULTURAL Special www.fglinc.com <br /> ENVIRONMENTALAnalytical Chernists 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 a <br /> Attn:Rodney Estrada v a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 —° <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> C7 W 3 c4 _ <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> Purchase Order Number: Cc.��� Cg yP7 v <br /> w ¢ a <br /> Quote Number: ST 20160309-01 N x o F- <br /> n w a 2 �:) °O Ca <br /> Sampler(s) 0 z ' a o. O <br /> Sampling Fee: Pickup Fee: <br /> c � � <br /> Compositor Setup Date: /_/ Time: / 8 Q z O z „ <br /> e C/) <br /> o �z w Q H <br /> Lab Number: STK 3-17919 0 <br /> 0 0 °J H aa c= �°� F II <br /> Samp Location Description Date Time n o a o N °' <br /> Num Sampled Sampled F a m ro O v - C7 N is =: is u <br /> 1 G DW <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 />