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WnMENTAL -= AGRICULTURAL <br />Analytical Chemists <br />Special Cxmrl OF CUSTODY <br />www.fglinc.com <br />Laboratory Copy (1 of 3) <br />Client: San Joaquin County EHD <br />Office & Laboratory <br />35730:02/06/2017 <br />Office L <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />2500 Stagecoach Road <br />TEST DESCRIPTION- <br />3442 Empresa Drive, Suite D <br />See <br />Reverse <br />side for Container, <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Preservative <br />and Sampling <br />information <br />; <br />Phone: (805) 783-2940 <br />I: <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />3 <br />.a <br />1868 East Hazelton Ave. <br />N <br />;, <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />w <br />Contact Person: Rodney EstradaLn <br />C7 <br />Q <br />Project Name: k ko Q �� ���\ \�� <br />C7 <br />w <br />g <br />o <br />Purchase Order Number: <br />l�W <br />Quote Number: ST 20160309-01 <br />N <br />v <br />a <br />w <br />¢ <br />z <br />x <br />a <br />Q <br />o <br />Sampler(s) ` <br />�vh �NT't <br />E,�S'Z-L <br />Sampling Fee: Pickup Fee: <br />c <br />CS <br />a <br />-� <br />2 ` <br />10" <br />a <br />o <br />x <br />x F <br />Compositor Setup Date: _/_/ Time: _/_ <br />E <br />°' <br />c <br />Z ° <br />a� <br />0 <br />o <br />� � <br />c� <br />rq <br />v � <br />oz <br />U <br />7;`�' <br />cz <br />x <br />a <br />b Z_ <br />= <br />N <br />a <br />E <br />Lab Number: STKL( �� <br />3-17919 <br />oSamp <br />Description <br />Time <br />nNum <br />sampled <br />Sampled <br />F <br />a <br />tq <br />W O <br />U <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />4 ijelinquis d / I D te: T' e: _ <br />2 <br />ReceivedDate: Time: <br />•Z� 2 i > � <br />Received By: Date: Time: a By: Date: Time: <br />I'l l <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office L <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Phone: (805) 392-2000 <br />Stockton, CA 95215 <br />Phone: (209) 942-0182 <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 783-2940 <br />Phr\na /Fr,41 7 2a_ga74 <br />