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7EII�'I RONMENTAL "- AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3)` <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />�IIIIIIIIIIIIIIIIDIIIIIIIIIIIIIVIIIVIIIIIIIIIIIII�II�III �. <br />36730:02'06'_'017 <br />TEST DI-SCRIPTION ties IZC r.c ,ide for Container. Pre,cr\.iti%c and Sampling int iniallon <br />— <br />Client: San Joaquin County EHD <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 />� <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 />6 <br />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (559) 734-8435 <br />c <br />c <br />Water Quality Division <br />Attn: Rodney Estrada t <br />V <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada <br />Project Name: <br />O <br />vWi <br />� <br />aG <br />Purchase Order Number: <br />a <br />w <br />> <br />3 <br />a <br />Quote Number: ST 20160309-01 <br />0 <br />N <br />w <br />Z <br />r <br />U0 <br />c <br />F- <br />A <br />Sampler(s)o <br />U <br />* <br />U <br />* <br />o <br />M. <br />o <br />¢o <br />p"C4n <br />x <br />w <br />Sampling Fee: Pickup Fee:5 <br />Compositor Setup Date: / / Time: / <br />--- <br />E <br />rn <br />o <br />z <br />O <br />orn <br />z <br />c- <br />U <br />u O <br />GZ <br />v z <br />A <br />E - <br />Lab Number: STK 3-17919 <br />0 <br />-S <br />n <br />a <br />T <br />M- <br />'� <br />a <br />a <br />o <br />u r <br />F II <br />o <br />Sam p <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />>1 <br />F. <br />o <br />a <br />ai <br />w O <br />o �� <br />U -- <br />w <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <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 />