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CHAIn OF CUSTODY <br /> -- - <br /> AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Laboratory Copy (1 of 3) <br /> 35731.02`Otr2017 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br /> Client: �an Joaquin County EHD t <br /> Address: San Joaquin Co' Environmental Health Dep <br /> Nater Quality Division - - <br /> Atm:Rodney Estrada <br /> f868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =' <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name:2*\\4—LN U <br /> 3 a <br /> Purchase Order Number: ti W <br /> Quote Number: ST 20160309-01 rx <br /> Sampler(s) E z T O <br /> t <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time: /_ z p x O <br /> G c _ <br /> Lab Number: STK 1366 ,. 3-17919 0 � <br /> Vo = Fes' r4 O <br /> Samp Date Time -S Q ¢ E <br /> Num Location Description Sampled Sampled :u;� a m m o w v <br /> O Travel Blank G 1,13W <br /> 1 OC, G DW -t <br /> Remark,: Relinquished Date: Time: uished Date: Time: Relinquishe / D te: e: <br /> ( <br /> R et By: Dat/e: Time: Received By: Date: Time: a By: ate: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory 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 />