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Special <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3) <br />Corporate Offices &Laboratory Office & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(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 />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Fax: (805) 783-2912 <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Atm: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada <br />Q <br />w <br />Project Name: <br />C7 <br />W <br />�, <br />& <br />� <br />v� <br />� <br />w <br />Purchase Order Number: <br />U <br />Quote Number: ST 20160309-01 <br />00 <br />Sampler(s) <br />z <br />Q <br />U <br />T <br />u <br />w <br />¢M <br />Sampling Fee: Pickup Fee: <br />a° <br />O <br />.o <br />O <br />a; <br />N <br />M <br />N <br />Compositor Setup Date: /_/ Time: / <br />z <br />p <br />° z <br />Cz <br />Zco <br />E <br />o� <br />o <br />Lab Number: STK 3-17919 <br />0 <br />w <br />a <br />al <br />V <br />x <br />N <br />x <br />x <br />,b <br />6 <br />' <br />r <br />°' O <br />Samp <br />Date <br />Time <br />Location Description <br />' <br />�' <br />Num <br />Sam P led <br />Sampled led <br />F. <br />° <br />a <br />co <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(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 />