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JIJ11�111L1f:111L.111L(L1�-- - <br />Clteut: San Joaquin Count.N EAID <br />Address: San Joaquin Co. Environmental Health Dep <br />30;02,00,20l, <br />Special <br />Water Quality Division <br />Attn: Rodney Estrada <br />a <br />` 1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />c <br />Phone: (209)468-0331 Fax: <br />C7 <br />A <br />Contact Person: Rodneys da <br />'L'-13(0 N �tt�l St ' <br />W <br />Q <br />o <br />Project Name: p� <br />rn <br />w)Purchase <br />Order Number: " lukm' v3 <br />W cllL�� <br />W <br />Quote Number: ST 20160309-01 <br />0 <br />o <br />Ln <br />Q <br />z <br />T <br />t <br />O <br />N <br />00 <br />a <br />Sampler(s) r <br />Sampling Fee: Pickup Fee: <br />c <br />a <br />C <br />O <br />O <br />a eq <br />Compositor Setup Date: _/_/_ Time: _/_ <br />p <br />v� <br />—�, <br />E <br />v' <br />z <br />Oo <br />lu <br />� <br />N <br />�z <br />-• <br />V <br />M <br />O <br />E z <br />x <br />Lab Number: STK 3-17919 <br />o <br />p^•, <br />V <br />pq <br />6 c <br />$ o <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />� <br />E'1 <br />a° <br />PQ <br />co <br />U <br />U N <br />1 <br />G <br />DW <br />1 <br />1.1.1 <br />Remarks: <br />Relipquished Date: <br />Received By: Date: <br />Corporate Offices & Laboratory l Office & Laboratory <br />853 Corporation Street J 2500 Stagecoach Road <br />Santa Paula, CA 93060 / Stockton, CA 95215 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Time: <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Customer Copy (2 of 3) <br />�.� k.�.i,� ,iJ. i„i t irutdult:i_ I'n..�..,fi•.� dt1�I Jdlul Biu_ itil._'.; -.. 1_ --A <br />Furse: IReceived By: <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Date: Time: <br />Date: Time: IReceived By: <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Date: I'ime: <br />Date: Time: <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />