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CHAIN OF CUSTODY <br /> www.fglinc.com <br /> Special <br /> ENVIRONMENTAL AGRICULTURAL <br /> Analytical Chemists Customer Copy (2 of <br /> (I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi llllllll 730:02/06/2017 TEST DESCRIPTION See Reverse side for Cl.,ntainer,Preservative and Sampling information <br /> ^fc <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Rodney Estr�da <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95105 <br /> Phone: (209)468-0331 Fax: Cz <br /> Contact Person: Rodney Estrada <br /> Project Name: <br /> CO <br /> Qum <br /> Purchase Order Number: Fr > t�o >' ) w <br /> Quote Number: ST 20160309-01 o w < <br /> 00 <br /> Z <br /> Sampler(s) 0 V) 0 A <br /> U 0 <br /> * <br /> 7 Cf) <br /> 0 <br /> C' <br /> Sampling Fee: Pickup Fee: r4 <br /> 0 <br /> Compositor Setup Date: Time: 7- 5 <br /> z <br /> y <br /> 3-17919 -0 V% ' <br /> Lab Number: STK Mo a €0. <br /> 40" V 0 <br /> . E <br /> Date Time R. :9 fl -6 <br /> amp 0-9 =0 <br /> Num Location Description Sampled Sampled ';O� PQ 0 U— <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Dade: 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 />