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CHMN OF CUSTODY <br /> _NVIRONMENTAL ML AGRICULTURAL Special WWW.fglinc.com <br /> Anolytical Chemists Laboratory Copy (1;of 3) <br /> ,� - <br /> 1 35730:02/06/2017 ,,'[F� :ST Dl_S(,tRIPTION - See Reverse side for Container. Presercau\ and Sa -)ling k infoiiirriuon <br /> Illlllllllllllll�t,lllllllllil ll,.�lill�ll�llll.t_ <br /> Client: Suit Joaqu;,�ountJ E D n d <br /> Address: Stip Joaqutry`c.o. EnviroOmental Health Dep <br /> VFter Qual y Division R <br /> Min:Rodnt,;Estrada 3 - <br /> 1868 Eau 1~dzelton Ave <br /> Stockton,C.rt 95205 3 a r 1 <br /> 1 v ; <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada L Ca <br /> Project Name: 1 53 Ni <br /> Purchase Order Number: NCl1tiL&VV p U ��Si�iA v <br /> Quote Number: ST 20160309-01 V N W CIO x z <br /> E o F- <br /> Sampler(s) E w z N °O A <br /> �'Ct1,11C�S�I� ��� v * D to x ^ N O <br /> o p c a Q M W <br /> Sampling Fee: Pickup Fee nu a v c a. o <br /> a y 'ci <br /> Compositor Setup Date:_/_/_ Time: E z O h ^z'U V"O <br /> Ln 0 o c <br /> Lab Number: STK 3-17919 0 w is. T u a 6 w <br /> Same Date Time -5 o b x b d <br /> Location Description c, �, ,yId <br /> p „ a��,• <br /> Num Sampled Sampled j F m m Q. <br /> ow <br /> i <br /> Remarks: Relinquished Date: Time: Re Ainished Dte: Time: Relinquished Date: Time: <br /> r <br /> C� 15t <br /> i' d -1 <br /> Received By: Date: Time: Received By: Date: Time: Received By Date: Time: <br /> AP91 <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 />