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CHAIN OF CUSTODY <br />ENVIRONMENTAL AGRICULTUKALSpecial www.fglinc.com <br />Analytical Chemists <br />Laboratory Copy (1 of 3) <br />i .i <br />� <br />111211111 11' IT 1111111111111111111111 <br />Client: San Joaquin County EHD <br />35730:02/06/2017 <br />TEST DESCRIPTION <br />- See <br />Reverse <br />side for Containet. <br />Preservative <br />and Sampling <br />information <br />Address: San Joaquin Co. Environmental Health Dep <br />Waier Quality Division <br />a <br />Attn: Rodney Estrada <br />_ <br />3� <br />a <br />Q <br />1868 East Hazelton Ave. <br />J <br />Stockton, CA 95205 <br />3 <br />b <br />CL <br />Phone: (209)468-0331 Fax: <br />w <br />3 <br />a <br />Contact Person: Rodney Estradatn <br />Project Name: LUUyh <br />Purchase Order Number: <br />tj <br />w <br />3 <br />694 <br />a <br />_, <br />Quote Number: ST 'L0160309-01 <br />N <br />w <br />ou <br />¢ <br />° <br />a <br />�a <br />E <br />w <br />a <br />2 <br />T <br />Q} <br />o°o <br />t0 Q <br />1 <br />Ct` <br />Sampler(s) a <br />*l_ <br />� <br />D <br />c a <br />c <br />° <br />O <br />x <br />Sampling Fee: Pickup Fee: <br />0 <br />a <br />Q <br />Compositor Setup Date: / / Time:s <br />E <br />0 <br />'—' <br />E <br />° <br />z <br />O <br />fl <br />x <br />�� <br />oz <br />u <br />cz <br />x <br />— <br />Lab Number: STK 3-17919 <br />ti/ / <br />a <br />— <br />— <br />o <br />c a <br />x <br />SampDate <br />Location Description <br />Time <br />Num <br />Sampled <br />Sampled <br />F' <br />�° <br />m <br />O <br />U <br />tj N <br />a <br />w <br />w <br />y <br />G <br />DW <br />J <br />Remarks: Relinquished Date: �jIZ ( Time: R nquished Date: Time: Relinqu, 'ed Date: it <br />haz� <br />Rec��• Date: Time: Received By: Date: Time: By: Date: Time: <br />//.9 <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Office & La ora <br />853 Corporation Street Office 8 Laboratory <br />2500 Stagecoach Road <br />563 E. Lindo 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue <br />Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 <br />San Luis Obispo, CA 93401 Visalia, CA 93291 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Phone: (805) 783-244n Dhn.,o• /crnN 70n .,^�� <br />