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EEENVNO ENTAL — AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAiri OF CUSTODY <br />www.fglinc.com <br />Tield Copy (3 of 3) <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />3.4,31.02'04917 <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />TI, ST DFSCRIP'Fl0\' <br />3442 Empresa Drive, Suite D <br />S: R.,rr•r <br />,n.lr <br />G,r C-nunncr. <br />P LI,M-! <br />anal <br />S:unplins <br />infimnal:,,n - <br />71i .n: San Joaquin County EHD <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 />Ad8ress: n Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />- <br />ttn: Rodney Estrada <br />r <br />68 East Hazelton Ave. <br />; <br />ockton, CA 95205 <br />3 <br />d <br />a <br />Phone: (209)468-0331 Fax: <br />w <br />�" <br />Contact Person: Rodney Estrada <br />A <br />Project Name: <br />vWi <br />x <br />h <br />Purchase Order Number: <br />,q <br />a <br />Quote Number: ST 20160309-01 <br />0 <br />Q <br />h <br />Sampler(s) <br />c <br />zC <br />U <br />+ <br />o <br />o <br />P4 <br />iC4 <br />T <br />o <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: _/_/ Time: _/_ <br />c <br />E <br />0 <br />z <br />ii <br />O <br />o <br />to <br />p <br />Lab Number: STK 3-17919 <br />0 <br />0 <br />'gyp <br />Location Description <br />Date <br />Time <br />a <br />o <br />.� <br />a o <br />Num <br />Sampled <br />Sampled <br />F. <br />a <br />= <br />ea C <br />W d. <br />0 <br />Travel Blank <br />G <br />LBW <br />4 <br />I <br />G <br />DW <br />4 <br />temarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Lime: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Dime: <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 />