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FGL CfWN OF CUSTODY <br /> ImIWINMENTAL AGRICULTURAL Special www,gUinc.eom <br /> EAnalytical Chemists Field Copy (3 of 3) <br /> { <br /> 3;7:30:02/06/2017 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 x <br /> 1868 East Hazelton Ave. w <br /> Stockton,CA 95205 =' <br /> Phone: (209)468-0331 Fax: x <br /> C7 w <br /> Contact Person: Rodney Estrada A d <br /> Project Name: <br /> Purchase Order Number: G w ua <br /> W d W a a' <br /> Quote Number: ST 20160309-01 <br /> opo F <br /> Sampler(s) c z 00 A <br /> U v O <br /> Sampling Fee: Pickup Fee: G °' a� p <br /> a O '+r_7 Pi'U d Cd M N �, N <br /> Compositor Setup Date:_/_/_ Time:_/_ E z 15 <br /> O c 'o , z <br /> Lab Number: STK 3-17919 0 ii a U ai x <br /> a 0 H w� <br /> F =U0.;Samp Date Time § U U 0Location Descriiiimi ' ° wa N NNum Sampled Sampled F xaII <br /> b b?? <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> RccekedB�: Date: Time: Received By: Date: Time: Received By: Date: fimc: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office A 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 />