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CHAiri OF CUSTODY <br /> ENVIRONMENTAL s AGRICULTURAL Special www.fglinc.com <br /> Analytical Chernists Custwner Copy (2 of 3) <br /> 35730:02/061,017 TEST DESCRIPTION - See Reverse side for Container, Pre.'=,ervative and Sampling information <br /> Clic tit: San Joaquin County EHD <br /> Ad&ress: San Joaquin Co. Environmental Health Dep <br /> 3 <br /> Water Quality Division <br /> Attn: Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> U <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: 3 <br /> Contact Person: Rodney Estrada Q <br /> Project Name: V v <br /> Purchase Order Number: G 3 vi w <br /> Quote Number: ST 20160309-01 Y z ¢ " ayN <br /> v E o H <br /> Sampler(s) o w z - O O <br /> v � a a � <br /> oi, O �vaA"i d O W <br /> Sampling Fee: Pickup Fee: rq -7z <br /> ❑ a ' G'~ F" <br /> Compositor Setup Date: / / Time: _! E p z p v '—_'Z O z E <br /> z <br /> ---- - c c cn o c y Q F- <br /> Lab Number: STK 3-17919 0 Cna a V x N^ x x <br /> J > vO EG ` ? E= II a a <br /> o E <br /> Samp Date Time - a .0 U t = Ea E x v <br /> Location Description ' <br /> Sam �' <br /> Num pled <br /> I Sampled <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bv: Date: 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 />