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FGL CIHMN OF CUSTODY <br /> Special ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical'Jicmists Laboratory Copy (1 of 3) <br /> r <br /> 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 a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 = <br /> a <br /> Phone: (209)468-0331 Fax: °4 <br /> Contact Person: Rodney Estrada ` Q <br /> Project Name: 1\'3e\ <br /> Purchase Order Number: Lten� <br /> Quote Number: ST 20160309-01 _ <br /> o E <br /> w a F <br /> Sampler(s) o 2 i p <br /> o p Via' <br /> Sampling Fee: Pickup Fee: c a 5' <br /> a ° s �' V <br /> Compositor Setup Date:_/_/_ Time: / E n z O ca <br /> E-13 o C? <br /> Lab Number: STKu�/3J�" 3-17919 0 ci o. ap <br /> 0 0 " E~ �O o� <br /> rNumo, <br /> Date Time 'S a '� ¢ E <br /> Location DescriptionSampled Sampled a° R p w <br /> Travel Blank } �; 1t_� G LBW <br /> /KZ <br /> ` G DW 4 <br /> Remarks: Relinquished Date: Time: Reutshed � Da e: Time: t ed Date: Time: <br /> �L ( 7151&2/ /7206 <br /> -' _7 J / / <br /> By: Date: Time: Received By: Date: Time: cei te: / jtme: <br /> Corporate Offices&Laboratory Office&Laboratory_ Office&Laboratory Office Lalborato& 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 />