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CHMN OF CUSTODY <br /> FGL <br /> • Special www.fgUnc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> C7 Gt.1 <br /> Contact Person: Rodney Estradacol <br /> d 4 <br /> , Project Name: w' <br /> Purchase Order Number: <br /> ` Quote Number: ST 20160309-01 w <br /> x S o E= <br /> Sampler(s) Ii E Z °O A <br /> o O Cy �O W <br /> Sampling Fee: Pickup Fee: C a o a� a <br /> Compositor Setup Date:_/_/_ Time:_/_ — z p a s �'Z O Z E <br /> Lab Number: STK ' y 3-17919 o w ii <br /> o o ?: F a� 0 <br /> Samp Date Time -5 ; D '� °' o c o b x b <br /> Location Description �, o co ro o ,r y a <br /> Num Sampled Sampled F. p, W W O U'- C7 <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Datc: Time: Received By: Daic: 'Dime: <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 /> SgnTa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phowe:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)7349473 <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 />