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CHmri OF CUSTODY <br /> Special www.fglinc.com <br /> b <br /> Analytical Chernists Field Copy (3 of 3) <br /> 3; 10:112,06/2017 I L.SI'DESCRIPTION - Sec Rcverse 'Cde fur C."`. mer. Prescr%ativc and Samphi'L i"t-l"cion <br /> Client: San Joaquin County <br /> Address: San Joaquin Co.Environmental Health Dep 'r <br /> Water Quality Division <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: w °4 <br /> Contact Person: Rodney Estrada A <br /> Project Name: <br /> Purchase Order Number: <br /> W Q a a <br /> Quote Number: ST 20160309-01 h <br /> a Eo H <br /> W a 2 E" 00 <br /> Sampler(s) 0 &0z >. O A <br /> U ?? v� p+ O <br /> i �a d W <br /> Sampling Fee:! Pickup Fee: v�°. O ro A,O o <br /> c1 „ 0 C4 <br /> 0 5 x'v gtwi`� s r d y v <br /> Compositor Setup Date:_/_/_ Time:_/_ rE z O c o z c°z = A F <br /> 0 t?+ <br /> Lab Number: STK 3-17919 0 a a Vpp x N= x x <br /> 'd o <br /> � �^ Fa0 =SaDate Time . "U C a �G°'aEU <br /> Location Description ° oo <br /> Num Sampled Sampled � <br /> a av <br /> a. m M O U <br /> I G D\1• <br /> Remark: Relinyui�hcd Date: Timc: Relinquished Date: Time: Relinquished llatc: Time: <br /> Rccckcd B�: Datc: Time: Received By: Date: Time. Reccked By: Date: -1 ime: <br /> CorRorafe Of'fices&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)302-2000 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 />