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El`fVIR TAL — AGRICULTURAL <br />Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3) <br />!IIIIIiillllllllllilllll!�i!IllllllllUllillllllllllllllllli <br />35730:02 0tk,1017 <br />1LS7 DLSC';tll'I l0\ See Re-rx -sldc (ur Cumaui r. Pre u c Jid Sawpltng mtornia6m, <br />___. <br />Client: San Joaquin County EH 'T <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />{ <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Address: San Aaquin Co. Environoental Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435. <br />Watet Quality Division <br />a <br />Attn: Rodney Estrada <br />3 <br />x <br />1868 East Hazelton Ave. <br />V <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada <br />A <br />¢ <br />S <br />Project Name: <br />C7 <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />y_ <br />w <br />w <br />wCl) <br />a <br />-0 <br />F" <br />�0 <br />0 <br />r <br />Sampler(s) <br />o9 <br />z <br />. <br />CO. <br />A <br />g <br />O <br />oo. <br />.�� <br />Qo <br />x <br />w <br />Sampling Fee: Pickup Fee:E <br />fl <br />Compositor Setup Date: Time: <br />a <br />, <br />, <br />°o <br />z <br />O <br />a'u <br />ai� <br />�`n <br />zrA <br />dz <br />° <br />_/_/_ _/_E <br />c <br />0 <br />o z <br />C <br />w <br />Q <br />F= <br />Lab Number: STK 3-17919 <br />0 <br />Sa <br />a <br />o <br />t <br />@ <br />.'5 N <br />U <br />0a <br />= o <br />G o <br />.2 x <br />b <br />:2 <br />Samp <br />Date <br />Time <br />Num <br />Location Description <br />Sam P led <br />Sam led <br />P <br />" <br />� <br />' <br />H <br />° <br />a <br />CO <br />oC O <br />a 6 <br />o ` <br />U -- <br />' <br />c7 N <br />° <br />iw <br />.2 <br />w <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corl2orate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435. <br />