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CHAIN OF CUSTODY <br />ENVIRONMEN IAL AGRICULTURAL Special www.fglinc.com <br />Analytical Chernists <br />Field Copy (3 of 3; <br />> > T t'EST DESCRIPTION - See Reverse side t t ontainer. Preservative and Sampling information <br />:5730:0_/06 _017 <br />�IIIII IIIiI �lll� 11 ll1�1�1�! I!�11ll�lllllU�91� - - < �1-I -� <br />Client: Skin ,Ioaquin County EHD��j <br />It <br />WaterQualav Division l t a <br />Attn: Rodney Estrada- rr <br />1868 East Ilazeltun Ave. 7 <br />'Stockton, CA 95205 3 <br />Phone: (209)468-0331 Fax: <br />v w 3 <br />Contact Person: Rodney Estrada Q ¢ a <br />Project Name: V V) <br />Purchase Order Number: v w 3 6 w <br />Quote Number: ST 20160309-01 a Wi � a <br />o K o E <br />Sampler(s) o z > O <br />.a <br />U L rn W ° O <br />Sampling Fee: Pickup Fee: ;, o <br />Compositor Setup Date: / / Time: E -;zz O v Z ° O b Z E <br />� U <br />Lab Number: STK 3-17919 0 w c a a a v o c <br />tea_ H II <br />Samp Date Time s '= o c E x a v <br />Num Location Description Sampled <br />Sampled ° ' `4 y �' <br />p I F 0. W 0] O U <br />I G DW <br />Remarks: Relinquished Dare: Time: Relinquished Date: Time: IRelinquished Datc: Tintc: <br />Received By: Date: -1-1111c: Received By: Date: Time: IReceived By: Date: 1 unc: <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 />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 />