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CHAIN OF CUSTODY <br /> Special www.fglinc.com <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02106i2017 iLSI'DLSCRIP110 Scc Re%cpe ,ide lot Lontainer.Pec cnau uu!Sampling utlitnttalion <br /> hent: San Joaquin County EHD <br /> r` <br /> Address: San Joaquin Co.Environmental Health Dep t <br /> Water Quality Division ; a <br /> Atm:Rodney Estrada y <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 fl <br /> Phone: (209)468-0331 Fax: W o: <br /> Contact Person: Rodney Estrada A <br /> Project Name: <br /> Purchase Order Number: 3 c <br /> W ¢ a W <br /> Quote Number: ST 20160309-0100 <br /> y N <br /> W � ca <br /> Sampler(s) } z 2 O is O <br /> A U <br /> 0 p Qp W <br /> Sampling Fee: Pickup Fee: 5 ; o-Z; <br /> y ct~ c� cn u <br /> Compositor Setup Date:_/_/_ Time:_/_ z O c o z 5 z 3-17919 "a <br /> .0 A E� <br /> Lab Number: STK x x <br /> c d F a <br /> ee F II 4 a <br /> amp Date Time -S o c o <br /> Location Description <br /> Num led Sampled Sam <br /> P P H a m ao O U <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received B3 : Date: I intc: Received By: Date: Time: Received By: Date: Time: <br /> s <br /> i <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 1853 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 />