Laserfiche WebLink
CHAIN OF CUSTODY <br /> AGFUCULTURAL LNVIRONMENTAL <br /> Special www.fglinc.com <br /> fAnalytical Chemists .V Fief Copy (3 of 3) <br /> uIIIII IIIIIIIIIIIIIIIIIIIIIII <br /> 35730:02/06/2017', TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Add4ess: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: w rte„ x <br /> Contact Person: Rodney Estrada ro Q <br /> Project Name: <br /> a <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 y d x N <br /> Sampler(s) o Ln O ; <br /> aO e W <br /> Sampling Fee: Pickup Fee: o a a <br /> Compositor Setup Date:_/_/_ Time: Q z p a a"i =Z <br /> O <br /> E oLn �z w o H <br /> Lab Number: STK 3-1791o A p^•, <br /> _ 9 <br /> ° o E_ aO w E d v II o b <br /> Samp Date Time ra a ° <br /> Num LocationDescriGxiun led Sam Sampled " ° d ° OC <br /> '" <br /> P P F. a cq co 0 U <br /> 1 G DW <br /> r <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> oroorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 8�3 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 /> PboAe:(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 />