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- -= CHAIN OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35731:02/06/2017 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: <br /> Contact Person: Rodney Estrada <br /> Project Name:. <br /> Purchase Order Number: 8. <br /> �9 <br /> Quote Number: ST 20160309-01 <br /> c w a lu F' <br /> Sampler(s) o wz t7' p <br /> 0 <br /> Sampling Fee: Pickup Fee: c ? a <br /> a a <br /> Compositor Setup Date:_/_/_ Time:_/_ i z plu <br /> o Ca <br /> Lab Number: STK 3-17919 0 a, c a p <br /> 0 0 F U a <br /> Samp Date Time <br /> Num Location Description Sampled Sampled a W oG O w <br /> 0 Travel Blank G LBW 4 <br /> I G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received B\: Datc: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices& Laboratory Office&Laboratoni 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 />