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CHmrI OF CUSTODY <br /> FML <br /> RAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02106/2017 TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information <br /> Client: San Joaquin County EHD g <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division a <br /> Atm: Rodney Estrada 3 z <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q <br /> � a <br /> Project Name: V) <br /> x <br /> Purchase Order Number: o uj <br /> Quote Number: ST 20160309-01 a ¢ a <br /> a W R y O FD 0 F <br /> Sampler(s) o z <br /> w <br /> V) % Q <br /> v z x a o <br /> x <br /> u Q O W <br /> Sampling Fee: Pickup Fee: c a a C14x F <br /> 07, rn a. <br /> cvm v <br /> Compositor Setup Date: /_/ Time:_/_ ,E� a z O a � z 2 O - z M E <br /> z <br /> E o Cn o c Q F <br /> Lab Number: STK 3-17919 0 w a. � a a t.7 <br /> a a <br /> amp Location Description Date Time v 6 ti a <br /> Num Sampled Sampled E a ca m O <br /> I G DW <br /> Remarks: Relinquished Date: Dime: Relinqui.hed Date: Time: Relinquished Date: Time: <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 />