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ENVIRONMENTAL — AGRICULTURAL <br />Analytical Chemists <br />CHAIN OF CUSTODY <br />Special t www.fglinc.com <br />Field Copy (3 of 3) <br />`.n <br />IIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllllllllllllllll <br />35730:02/06/2017 <br />TEST DESCRIPTION See RevLrse°side for Container. Preservative and Sampling <br />information <br />Client: San Joaquin County EHD <br />1gr <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />3 <br />a <br />Attn: Rodney Estrada <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />Phone: (209)468-0331 Fax: <br />C7 <br />W <br />x <br />Contact Person: Rodney F,stra <br />Project Name: /' / C` <br />on <br />cc <br />rn <br />a <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />w <br />w <br />a <br />eo <br />Q <br />a <br />Sampler(s) <br />U <br />* <br />R <br />w <br />O <br />a <br />O <br />QO <br />W <br />Sampling Fee: Pickup Fee: <br />E <br />Compositor Setup Date: / / Time: /_ <br />z <br />p <br />�"' <br />z <br />bz <br />6 <br />c <br />0 <br />o z <br />w <br />A <br />Lab Number: STK 3-17919 <br />o <br />w <br />Q <br />a. <br />,tea <br />— <br />o O <br />U <br />am, <br />2 <br />' o <br />a <br />lu <br />o <br />E- II <br />c <br />a <br />Date <br />Time <br />lamp <br />Num <br />Location Description <br />Sampled <br />Sampled <br />E= <br />a <br />aG <br />ira O <br />U <br />c7 N <br />u <br />tw c <br />2 <br />w <br />I <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Datc: Tmw: <br />Received By: Date: Time: <br />I I 1 <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Coroorate 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 />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 />