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4VIRONMENTAL = AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3) <br />Corporate Offices & Laboratory <br />it <br />35735`.02/06/2017 <br />0.1 <br />TEST DESCRIPTION See Reverse side for Conu <br />i er, Preservative and Sampling information <br />Client: San Joaquin County EHD <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 />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />:a <br />Attn: Rodney Estrada <br />1868 East Hazelton Ave. <br />$ <br />Stockton, CA 95205 <br />3 <br />0 <br />Phone: (209)468-0331 Fax: <br />W <br />a <br />Contact Person: Rodney Estrada <br />A <br />Q <br />_ <br />Project Name: V' <br />cw4 <br />3 <br />Purchase Order Number: - <br />d <br />� <br />a <br />a <br />Quote Number: ST 20160309-01 <br />o <br />c <br />w <br />a <br />w <br />Z <br />;-, <br />00 <br />Sampler(s) <br />'. <br />U <br />.2 <br />&0 <br />.. <br />a <br />a <br />a <br />a <br />Sampling Fee: Pickup Fee: <br />S <br />a <br />(Uo <br />Compositor Setup Date: / /_ Time: _/_ <br />- - <br />E <br />t% <br />0 <br />o, <br />E <br />z <br />ii <br />O <br />.. <br />T <br />A <br />a o <br />1 (4 <br />'� <br />A <br />O <br />Lab Number: STK 3-17919 <br />Sam <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />20 <br />E <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />l <br />G <br />DW <br />4 <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date_ I ime: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: 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 />