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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL Special www.fgUinc.com <br /> Analytical Chemists Customer Copy (2 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 g <br /> Stockton,CA 95205 =° <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> ttOO \`;\ o � <br /> Project Name: ,2 t c7 M <br /> Purchase Order Number: C � > oo a a <br /> Quote Number: ST 20160309-01oo <br /> 8 o F <br /> Sampler(s) o vwi z O ►a <br /> (_ = V a <br /> f'GWCI S(p l�It>rL, c '.'L U a s H °x <br /> a0 ° w <br /> Sampling Fee: Pickup Fee: c o a a <br /> a lu 0 a'u cl a p b z :: E <br /> Compositor Setup Date:_/_/_ Time:_/_ 8 fl z O a z �, -- <br /> zE— <br /> Lab Number: STK 3-17919 0 6 a�% ro U x = x x <br /> c 0 d F �Oa ap F II n a <br /> 0. <br /> Samp Date Time a '� °' =o c c <br /> Location Description Sam °' ' o U u-S <br /> Num led Sampled <br /> P P F w m m 0 U <br /> 1 G DW <br /> Remarks: R linquish Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Recety ate: 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 />