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- —_ CHAIN OF CUSTODY <br /> ENVIRONMENTAL -AGRICULTUML Special www.fglinc.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. <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada e E2 A <br /> Project Name: �" v°� <br /> Purchase Order Number: /` + U <br /> 44 w <br /> Quote Number: SI'20160309-01 o rx N <br /> E o2 00 <br /> E� <br /> Sampler(s) 1 ) o vWi z >, p Aa <br /> U v, x rV O <br /> eu o O •Gvai ¢O `� W <br /> Sampling Fee: Pickup Fee: g 0— a o <br /> Compositor Setup Date:_/_/_ Time:_/_ G,, z O a �'Z O <br /> ai 9� U x is A F <br /> Lab Number: STK 3-17919 0 (11) a a M .. <br /> >' aJ O a a E0 II a a <br /> o F 6L <br /> Samp Date Time �n �, =o E <br /> Num Location Description Sam led Sam led °' >, 0 0 M <br /> � Ea w mO Uo <br /> P P n <br /> • � ON <br /> 1 G DW 1 1,1,1 <br /> Rcm,iik�: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recci�ed BN: bate: Time: Received By: Date l imc: Received By: Date: lime: <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 /> 4Phone:(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 />