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ENVIRONMENTAL == AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special www.fglinc.com <br />Laboratory Copy (1 of 3) <br />it j l l l llll ll l llll ll 111 _ <br />Corporate Offices & Laboratory <br />3;730:02/06/2017 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />r <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 />Address: San Joaquin Co. Environmental ,Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />— <br />= <br />Atm: Rodney Estrada <br />3 <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 />Purchase Order Number: <br />; <br />a <br />W <br />ILII <br />Quote Number: ST 201603 -010Cn <br />o <br />W <br />a <br />c <br />z <br />5 <br />E <br />O <br />a <br />o <br />0 <br />E— <br />Q <br />Sampler(s) <br />1 0404'w � <br />U <br />vW <br />* <br />^ <br />T <br />tYr <br />N <br />O <br />,� <br />Sampling Fee: Pickup Fee: <br />_' <br />o <br />Cn <br />°� rq <br />W <br />c <br />Compositor Setup Date: /_/_ Time: / <br />E <br />0 <br />V) <br />z <br />a. <br />p <br />; <br />o a <br />� N <br />dd <br />" z <br />� <br />M <br />` O <br />=z <br />w <br />,—, z <br />= <br />o <br />y <br />A <br />a <br />Lah Numher: STK 3-17919 <br />0 <br />o <br />v <br />a� <br />o <br />F II <br />Samp <br />Date <br />Time <br />i <br />Location Description <br />Sampled <br />P <br />Sampled <br />P <br />" <br />2 <br />' <br />F <br />° <br />a. <br />CO <br />d <br />m O <br />C� — <br />C7 c� <br />ii. _: <br />is. <br />(14 <br />\ <br />c <br />DW <br />1 <br />1.1/ <br />Remarks: <br />Relinquished Date: Time: <br />Reh wished DIM: Time: <br />Relinquished Date: Time: <br />1.7v <br />L j 06iSS <br />y: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: ; 1 Time: <br />Dula <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 />