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w <br /> *&1 <br /> CHMM OF CUSTODY <br /> . Special www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION See Re%erse side for Container. Preservative and Sampling information : I <br /> Client: San Joaquin County EHD a <br /> Address: San Joaquin Co.Environ m tal Health Dep ` I <br /> Water Quality Division <br /> Attn:Rodney Estrada 3 <br /> 1868.East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: RodneyEstrada � A <br /> Project Name: Vl)�-'C c up'n ,i v1�j,' ro <br /> Purchase Order Number: (04 ! / ;}� c' w U W aai ua <br /> Quote Number: ST 20160309-01 <br /> a W R NF 000 F <br /> Sampler(s) o z T p a A <br /> fit! <br /> /�/ <br /> 'tel lL ' s L't ln, <br /> u r,12, o W <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: /_/ Time:_/ z Oc .o z c z iy A F= <br /> 0 <br /> Lab Number: STK 3-17919 o w iE T a a a a <br /> 0 0 <br /> Samp Date Time 6 ; o <br /> Num P p led Sampled '� � <br /> Location Description Sam " '' o `" d <br /> E~ a M COO V <br /> I G DW <br /> Remarks: Relinquished Date: "I"ime: Relinquished Date: Time: Relinquished Datc: I inn: <br /> Received By: Date: I-imc: 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 /> anta Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> hone:(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 />