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Special CHAIN OF CUSTODY <br /> RAp www.fglinc.com kVIROAMENTALIrz-REV <br /> Analytical Chemisis Laboratory Copy (1 of 3) <br /> 1011111 35730:0210612017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada a "' <br /> 1868 East Hazelton Ave. p�Q \ u <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> I N` <br /> 1.5' _ <br /> Project Name: �Q ���Ot is <br /> Purchase Order Number: i1 W rx a <br /> Quote Number: ST 20160309-01 04 <br /> 1/ ` •• <br /> O ^ E <br /> CL iLi LL, w E+ 00 <br /> Sampler(s) (� EZ 0 <br /> o O W <br /> Sampling.Fee: Pickup Fee: c rx <br /> M <br /> Compositor Setup Date: f I Time: I E �, z pCC <br /> z a O z <br /> va 8 Z Ca <br /> c 9)i 0'-" 5 i r. Ll H <br /> w ec ,� Ci n U <br /> Lab Number: STK /�JJjy}�J{ [/Q 3-17919, o cv. La wW 0 a aa <br /> _ Lai 1 M <br /> `+V � 1� O rte-. C' W O .vr L <br /> amp DaTime • , = <br /> oC. 9Location Description o 0 'Num Sampled Sampled O U 0 C4 ir <br /> J SEL. Lu <br /> G DW <br /> Remarks: Relinquished Date: Time: quished Date: Time: Relinquished Date: Time: <br /> / <br /> Rec 7 Date: Time: Received By: Date: Time: Received By: Date: '('jme: <br /> 41".1/ 3 <br /> W& I <br /> Aw <br /> Cornorate Offices&Laboratory_ Office&Laboratory Office&Laboratory Office&Laboratory Office 8,Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> do 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 />