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-_—4igh CHAIN OF CUSTODY <br /> ENVIRONMENTAL AORICULTURAL Special www.fglinc.com <br /> Analytical Chemistsa` <br /> Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION`- See Reverse side for Conrtiner. Preservative and nL Sampliinformation 1 <br /> Client San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Atm: Rodney Estrada ti <br /> 1868 East Hazeltcn Ave. y <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: Q 3 <br /> Contact Person: Rodney Estrada = �� h'h V, <br /> Truk 95 W <br /> Project Name: ,f i/w(5 �` V) <br /> Purchase Order Number: "7 UU <br /> Quote Number: ST 20160309-01 <br /> o F <br /> N <br /> 00 <br /> Sampler(s) C W z Ca <br /> L) <br /> Z ✓ p" O <br /> i ,<,;_.•,. x <br /> w <br /> Sampling Fee: Pickup Fee: ° v b ° a <br /> C u Ln M a <br /> Compositor Setup Date:_/ / Time:_/ E a z (5 � o °'z °O �z � E <br /> v) z Q F- <br /> O U m x x x <br /> Lab Number: STK 3-17919 0 V) a v E a a a <br /> �amh Date Time S <br /> c 3 u = =o o y <br /> Num Location Description Sxm pled Sampled " > <br /> I 1 <br /> G DW 1 LIA <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, Suite D 9415 W. Goshen Avenue <br /> Santa Paula, CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo, CA 93401 Visalia,CA 93291 <br /> Phone: (805)392-2000 Phone: (209)942-0182 Phone: (530)343-5818 Phone: (805)783-2940 Phone: (559)734-9473 <br /> Env Fax: (805)525-4172/Ag Fax: (805)392-2063 Fax: (209)942-0423 Fax: (530)343-3807 Fax: (805)783-2912 Fax:(559)734-8435 <br />