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CHMN OF CUSTODY <br /> ENVIRONMENTAL � Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> III I �Illllll�ll�lt� 35730:02/06/2017 TEST DESCRIPTION - ',gee Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health )e1) <br /> Water Quality Division <br /> Attn: Rodney Estrada x <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada v Q ¢ 21a <br /> 2 x <br /> Project Name: M W) <br /> Purchase Order Number: <br /> Quote Number. ST 20160309-01 a 6 <br /> N <br /> a ttl C% v 00 O <br /> Sampler(s) �„ z ;, O <br /> _ x <br /> Sampling Fee: _ Pickup Fee: It <br /> Compositor Setup Date:_/ /_ Gime: / n c z O = o z zz w Q F <br /> o � x <br /> Lab Number: STIP 3-17919 " v H z p E a°v ? H II <br /> Samp Location Description Date Time $ ro N y y n <br /> Num Sampled Sampled 5 1 Gq O U <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Late: Time: Relinquished Date: `lime: <br /> Received By: 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 />