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FGL Special CHAirn OF CUSTODY <br /> ENVIRONMENTAL - AGRICULTURAL <br /> p www.fgUnc.com <br /> Analytical Chemists Laboratory Co0y (l of 3) <br /> III E 1111111111111111111111111 hil 111111111111111111 35730:02;06,'2017 TEST DESCRIPTION - See Reverse side for Container, Preservative andSamplinginformation <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep', <br /> Water Quality Division � <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =� <br /> a <br /> Phone: (209)468-0331 Fax: <br /> a <br /> Contact Person: Rodney Estrada <br /> Project Name:\" A v' � <br /> Purchase Order Number: > 3 w <br /> Quote Number: ST 20160309-01 w ¢ N <br /> v r' 00 F <br /> Sample U z ' O A <br /> \V�\ � y � a °i O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: /_/_ Time: /_ z p Z -O Z _ <br /> con <br /> Lab Number: STK5 O b 3-17919 y <br /> o c FT L o F II <br /> amp Date Time =c c o b x ? d <br /> Num Location Description Sampled Sampled <br /> G DW I I.1.1 •� \ ti\bti� 30 -- <br /> Remarks: Relinquished Date: Time: Relin h Date: Time: Relinquished Dte: Time: <br /> �ti� ��►Z� ��,.05 � 1 Z 11� �i{ IZ(rD � ISI�1� <br /> Received By: Date: Time: Receiv By— Date Time: Received By: Date: Time: <br /> Hkq9U 1� <br /> Corporate Offices&Laboratory 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 />