Laserfiche WebLink
FML CHAIN OF CUSTODY <br /> ENVIRONMENTAL 3- AGRICULTURAL Special www.fgmc.com <br /> Analytical Chernists Customer Copy (2 of 3) <br /> 35730:02/06/2017 TEST DESCRIPTION See Reverse side for Container,Preservative and Sampling information <br /> :a <br /> Client: Sad Joaquin County EHD 0 6 <br /> Address: Saii Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada y <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 fl <br /> Phone: (209)468-0331 Fax: W <br /> au � <br /> Contact Person: Rodney Estrada A ¢ E <br /> a � <br /> Project Name: �t C7 v, zr <br /> Purchase Order Number: I3 �' <br /> w ¢ <br /> Quote Number: Sr 20160309-01 o x F <br /> Sampler(s) o vWi Z > O A <br /> U �, a' O <br /> <O W <br /> Sampling Fee: Pickup Fee: <br /> w _ i" b z a> <br /> Compositor Setup Date:_/_/_ Time:_/ rE z Oc o z c z w A H <br /> Lab Number: STK 3-17919 0 ii a U x N x x <br /> 0 0 <br /> amp Date Time 6 T �.5oo- <br /> SampledSampled o M C�7�r Ru n � �Location Description aINum <br /> s <br /> 1 G DW <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 /> 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 />