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t'NVIF�0NMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special CHMN OF CUSTODY <br />P www.fglinc.com <br />Laboratory Copy (1 of 3) <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />35731:02/06/2017 <br />Office & Laboratory <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />t <br />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />3a <br />Atm: Rodney Estrada <br />x <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />lua <br />Contact Person: Rodney Estrada <br />Project Name:cd <br />���Q C^� �.t►��^' �f <br />Purchase Order Number: ��,0O CP "11w <br />U <br />W <br />3 <br />6; <br />n. <br />ll <br />Quote Number: ST 20160309-01 <br />E <br />W <br />x <br />w <br />z <br />Sampler(s) nn \ <br />O <br />0 <br />G Pr <br />C <br />Sampling Fee: Pickup Fee: <br />v <br />o � <br />Compositor Setup Date: / / Time: / <br />— <br />E <br />0 <br />Q <br />E <br />z <br />a <br />O <br />c <br />°oma <br />a <br />Q <br />a0 <br />Lab Number: STK �i 3-17919 <br />.S <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled0 <br />1 F <br />100 <br />w <br />'40 <br />w <br />0 <br />Travel Blank <br />lhll` <br />���Qs <br />G <br />LBW <br />P; <br />t <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquishe Date:, Time:Relinquis <br />ate: <br />lZ <br />Z� Z) 1.10w�j <br />2- <br />Received By: Date: Time: <br />Rec ived Ay. Date• Time: <br />Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory_ <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />