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-= CHmri OF CUSTODY <br /> Special www.fglinc.com <br /> EliVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Field Copy (3 of 3) <br /> 11111111111111111111111111 IN 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 <br /> Attn:Rodney Estrada S <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada A <br /> Project Name: vWi rn <br /> x <br /> Purchase Order Number: a <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) o z <br /> r <br /> o O <br /> Sampling Fee: Pickup Fee: 5 °" ; o a <br /> G <br /> Compositor Setup Date: / / Time:—/— E z p x a <br /> o`n AQ <br /> Lab Number: STK 3-17919 0 w a T �.. O <br /> 0 <br /> Samp Date Time ,5 <br /> Location Description a o a o <br /> Num Sampled Sampled � F, a o4 co O w v <br /> 0 Travel Blank G LBW 4), <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received$y Dpte: Time: Received By: Date: Time: Received By: Date: Time: <br /> +,yl�!/ <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 />