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- -= CHAIN OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL <br /> Special www.fglinc,com <br /> Analytical Chemists Field Cppy (3 of 3) <br /> i I <br /> 35731:02,06r2017 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 /> Atm:Rodney Estrada p; <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 � a <br /> Phone: (209)468-0331 Fax: °4 <br /> Contact Person: Rodney Estrada A <br /> 7 x <br /> Project Name: r10 M rA <br /> Purchase Order Number: U w vi <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) o Lo ;S >, O <br /> U -°-' r <br /> 0 Q 'Lvai O <br /> Sampling Fee: Pickup Fee: .5 " <br /> Compositor Setup Date: / / Time: /— E — z O <br /> --- H cc A <br /> Lab Number: STK 3-17919 0 ii a O <br /> �> a <br /> Samp Date Time 6a '� Q <br /> Num Location Description Sampled Sampled r~ a a oa O w v <br /> 0 Travel Blank G LBW 4 <br /> G DW 4 <br /> FF I <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 /> tlorborate Offices&Laboratory Office&Laboratory f 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 /> $ants'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 />