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---= CHMN OF CUSTODY <br /> - Special www.fglinc.com <br /> ENVIRONMENTAL AGFJCULTUML <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 3;730:02106'2017 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 <br /> 1868 East Hazelton Ave. <br /> co <br /> Stockton,CA 95205lu <br /> 3 n <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada ro A Q <br /> - I L J' <br /> Project Name: " /v <br /> S' S, <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> Q a E2 00 <br /> Sampler .s) . '( /'j 3 v <br /> 00 a Q <br /> x� o <br /> o p Cn Q W <br /> Sampling Fee: Pickup Fee: c a 'o a O <br /> Compositor Setup Date: / / Time: E o z p a r'z °MO z E <br /> --- n o z <br /> Lab Number: STK 3-17919 0 Cn <br /> am Date Time °' o D `•5 E °' E <br /> p Location Description a o ra o oN <br /> Num Sampled Sampled �, a m w O U— t7 N is _: ir. is. <br /> 1 G DW <br /> Remarks: Relinquished Date: lime: Relinquished Date: Time: Relinquished Date: "Dime: <br /> UJA � N-)U Obft>VIt* SLI" <br /> Received By: 'Da Time: Received By: Date: Time: Received By: Date: Time: <br /> G i7 /4 r() <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 />