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CHmri OF CUSTODY <br /> EWRONMENTAL AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists Field Copy (3 of 3) <br /> 35730:02/06/2017 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 3a <br /> Attn: Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: <br /> w 3 <br /> �] 74 <br /> Contact Person: Rodney Estrada ¢ yE a <br /> rx <br /> Project Name: vWi v, z <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 a Q '' a <br /> E o00 <br /> F <br /> Sampler(s) o w z T O <br /> U .n a? W' a' 0 <br /> o * o <br /> Sampling Fee: Pickup Fee: 5 a ;, o n <br /> Compositor Setup Date: / / Time: / E a. p c4 L '—' N° 'O y z � E <br /> z <br /> c F- <br /> o <br /> Lab Number: STK 3-17919 c <br /> �� II a a <br /> Samp Date Time s 'a = o m o <br /> Num Location Description Sam pled Sampled �' o ° ° o °c' v n. <br /> 1C7r <br /> I G DW <br /> Remark,: Relinquished Date: Time: Relinquished 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 />