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AGRICULTURAL <br />Analytica <br />ENVIRONMENTALll Chemists <br />1111.11 -LL <br />E <br />w <br />a <br />o <br />° CO) <br />Client: San Joaquin Count) E) <br />* <br />z <br />>1 <br />O <br />Address: San Joaquin Co. Enviroiental Health Dep <br />U <br />iE <br />�, <br />•= z <br />U <br />Water Quality Division <br />Lab Number: STK 3-17919 <br />0 <br />a <br />0gyF <br />a <br />Q O <br />Atm: Rodney Estrada } <br />Samp <br />Date <br />3 <br />Num <br />Location Description <br />1868 East Hazelton Ave.,-. <br />Sampled <br />G <br />E <br />DW <br />y <br />oa <br />Gq O <br />Stockton, CA 95205 1 <br />I <br />Phone: (209)468-0331 Fax: <br />C7 <br />W <br />a <br />Contact Person: Rodney Estrada <br />A <br />d <br />S <br />Project Name: <br />fr <br />a <br />L <br />r7 <br />rn <br />Purchase Order Number: <br />3 <br />a <br />Quote Number: ST 20160309-01 <br />0 <br />Sampler(s) <br />Sampling Fee: Pickup Fee: <br />E <br />w <br />a <br />o <br />° CO) <br />* <br />z <br />>1 <br />O <br />Compositor Setup Date: / / Time: / <br />U <br />iE <br />�, <br />•= z <br />U <br />Lab Number: STK 3-17919 <br />0 <br />a <br />0gyF <br />a <br />Q O <br />Sampling Fee: Pickup Fee: <br />5 <br />a <br />o <br />° CO) <br />z <br />O <br />Compositor Setup Date: / / Time: / <br />o, <br />�, <br />•= z <br />U <br />Lab Number: STK 3-17919 <br />0 <br />a <br />0gyF <br />a <br />ao� <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />G <br />E <br />DW <br />a <br />oa <br />Gq O <br />U -- <br />1 <br />I <br />CHAIN OF CUSTODY, <br />Special www.fglinc.com <br />Field Copy (3 of 3) <br />iI.Ji Ill <br />a <br />6 <br />00 <br />N <br />0 <br />I�- h.., .. ,I 1 �.�.�, ,_� I i_ .. u. u.l l,u�ltui _ •.ii iul}iit�,i <br />RKI <br />9 <br />I~ <br />n. <br />w <br />Remarks: Relinquished Date: Time: IRelinquished Date: Time: <br />Received By: Date: Timc: IReceived By: Date: Time: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 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 />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />ted Date: Time: <br />By: Date: Time: <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 />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />