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CHAIN OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> '.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII�I�IIIIIII�I��I <br /> 35730:0100,2017 I LJI ULSCRII'CIU\ J, Rccuc .edc lug ( ,nt.uii r'. %'rr.cnau�c acid Ja nplut, uil nn;ui m <br /> hent-. San Joaquin County EHD <br /> Address: San,loaqCo.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Arte:Rodney Estrada y x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: x <br /> C7 W n <br /> Contact Person: Rodney Estrada R S <br /> V <br /> Project Name: O rn <br /> Purchase Order Number: <br /> U W in <br /> u > °° y, a W <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) \, c Z T O A <br /> d0 w <br /> Sampling Fee: Pickup Fee: e <br /> Cd <br /> Compositor Setup Date:_/_/_ Time: rn o z O C o z z w A H <br /> Lab Number: STK 3-17919 <br /> 0 <br /> Date Time <br /> u 9Samp °o o <br /> Location Description <br /> Num Sampled Sampled <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: 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 />