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FGL CHAIN OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL Special www.fgUnc.com <br /> —Analytical Chemists Customer Copy (2 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 3 a <br /> Attn: Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> n. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrra'da1, �p Q pE <br /> Project Name: 1�(}5 N J GC 1� r,9- <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 N x <br /> E <br /> Sampler(s) ( �yCn z T <br /> t l� V G1 v <br /> h� S <br /> Sampling Fee: Pickup Fee: S a <br /> c <br /> v O <br /> Compositor Setup Date: /_/ Time: _/ E £ z O x A <br /> a <br /> 0 <br /> Lab Number: STK 3-17919 0 � a a -0 <br /> Samp Date Time -5 lu u ¢o <br /> Num Location Description Sampled Sampled H a° Gq p w <br /> 0 Travel Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Receiyed By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> IF <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 />