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CHAIN OF CUSTODY <br /> FGL ENVIRONMENTAL AGRICULTURAL <br /> j Special "t www.fgUnc.com <br /> Analytical Chemistsj Custoie4 Copy (2 of 3) <br /> 35730:02/06/2)17° TEST DESCRIPTION - See Rever>r nide for Container.Pr4-rvstive and Sampling information <br /> Clietli: San Joaquin Comity EHD <br /> Addidess: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person; -{odney Estrada <br /> y ..,` �` 1�Q C7 W o <br /> Project Name: - <br /> Purchase Order Number: v ` - <br /> en ui <br /> � a <br /> Quote Number: ST 20160309-01 c, w a F E- <br /> Sampler(s) o vWi z > O A <br /> U rn a: a p <br /> Cl) 0 <br /> a O <br /> Sampling Fee: Pickup Fee: c O 7 a O <br /> C C NM d <br /> Compositor Setup Date: / / Time: / E —a z O x ¢ z '20 �z � E <br /> -- C C6is Q E- <br /> Lab Number: STK 3-17919 o w a T U a a a o <br /> F II <br /> Samp Date Time -5 �, O c a E a x b b <br /> Num Location Description Sam led Sampled " ' o 0 U� o " ° lu <br /> p p F a Pa PGO U— ON ti_: u ii <br /> I G DW <br /> Remarks: Relinquished Date: Tlt[t Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 />