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CHAIN OF CUSTODY <br /> IM <br /> . :Special www.fgmc.com <br /> Analytical Chemists Custo let Copy (2 of 3) <br /> u <br /> 35730:02 00-017 TEST DESCRIPTION - See Reverse side for Container. Pry?en^etivr and Sampling information <br /> Clieht: San Joaquin County EHD <br /> id r ss: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada ¢ S <br /> Project Name: - C7 v0 <br /> Purchase Order Number: U w d uj <br /> Quote Number: ST 20160309-01 0 w a F00 <br /> F <br /> Sampler(s) o vWi Z T O A <br /> eb o p •GhQO e W <br /> Sampling Fee: Pickup Fee: 5 c a <br /> Compositor Setup Date: / / Time:—/ fl z O x ��,' �'z z z 6 <br /> --- CAE o o F- <br /> Lab Number: STK 3-17919 0 w a, T U a w p n <br /> ca � F II <br /> lamp Date Time _ c p = v v <br /> Num Location Description Sam led Sampled " ' d ° <br /> 1 G DW <br /> 2emarks: Relinquished Dare: "Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: I imc: Received By: Date: Time: Received By: Date: <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 />