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CI mri OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL <br /> 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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada A d <br /> a7 <br /> Project Name: 'i) ��: '�_; �` ` � ' , < � C c7 vWi � v°, <br /> Purchase Order Number: U w uS <br /> Quote Number: ST 20160309-01 <br /> 6 o F <br /> a W a °° A <br /> Sampler(s) f o � z T O .a <br /> Sampling Fee: Pickup Fee: c a ==' a x H <br /> Compositor Setup Date:_/_/ Time: /_ 8 o z O ty <br /> U a x u, A EF <br /> Lab Number: STK 3-17919 0 w 5 T M.. a a ;^ o <br /> F II <br /> Samp Date Time � o �, O '0e c :2x a <br /> Num Location Description Sampled Sampled " ' o ro `d ra °'' 0 0 g ° iz <br /> 1 4i f �i G DW <br /> Remarks: Relinquished Date: Time: Relinquished Dare: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Coroorate 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 />