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Special <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Laboratory C,A)y (i of 5) <br />.1 11 1 1 lir 11"1 flPf1.1111111111111111 111 "11' 35730.02 .06.'20 :7-1! I like I I I V iR IP I I( IN Sci,2 Ro .2i .e Nide I,,i n qv ;liner. ,i,,s,21-\-;tri .. I Sam <br />_ <br />)1 i cw in 14,1 1 ILI 1 1,,ii I ill I 11, I I iii 1 ' 10 iil i <br />(ilell:: Sa!1' .0:1(111ill 1:011111 !Ail) <br />Wi4r Qualk)y Division <br />Attiii Rodney Estrada <br />1868 East 14,azelton Ave. <br />Stockton, CA 95205 <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada A ,, <br />Project Name: \\\&b %, ClaCe...‘3C_Ntrip., 0 <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 Method of Sampling: Composite(C) drab(G) Type of Sample **SEE REVERSE SIDE** Potable(P) Non-Potable(NP) Ag Water(AgW) Bacti Type: Other(0) System(SYS) Source(SR) Waste(W Address San 'toaquilirt.l'ii. Environmental Health DeP Bacti Reason: Routine(ROUT) Repeat(RPT) Replace(RPL) Other(0) Special(SPL) Coliform-Colilert-P/A 120m1(PBa)-Na2S203 • General Mineral 250m1(P)-HNO3 16oz(P),-844- Field Test-Field pH !!pH = 15 MINUTE HOLD TIME!! Field - pH Date Field - pH Time W <br />z <br />. <br />Sampler(s) <br />Sampling <br />Compositor <br />4,53'1t- cf.,45)00 0-:SS.k.\/ \ <br />Fee: Pickup Fee: <br />Setup Date: / / Time: / <br />Lab Number: STK 400 ,74 /71. 3-17919 <br />Samp <br />Num Location Description Date <br />Sampled <br />Time <br />Sampled <br />1 \l's . -...k-X S.,*•,:il. I rilki 141,14 G DW 1 1,1\ -7 5‘,C\ pf H ri <br />Remarks: Relinquished Date: Time:i <br />\5145 <br />q hed i Dqe: Time: <br />7/0/339-( /71•6 <br />Relin uished <br />. -L,6 1 <br />Date: Time: <br />b13 \rn Ci3c <br />Received :• Date: Time: <br />7 Q i / /x.31- Lic;,,) <br /> <br />Received By: i Date: Time: Received By: , Date: Time: <br /> <br />4.0 -7//q6 robUit-i 11M) C c <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 Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, CA 93291 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