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CHmri OF CUSTODY <br /> a_ RAL Special www.fglinc.com <br /> ENVIRONMENTAL AGRICULTU <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 11111111111111111111111111111111111111111 IN 35731:02/06/2017 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 3 a <br /> Attn:Rodney Estrada o; <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =" <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> a: <br /> Contact Person: Rodney Estrada Q <br /> Project Name: <br /> Purchase Order Number: 3 N a <br /> Quote Number: ST 20160309-01 <br /> Sampler(s) o w z <br /> Sampling Fee: Pickup Fee: E <br /> C s a 3 U <br /> Compositor Setup Date:_/_/_ Time: 4 a z p d a Q <br /> 0 <br /> Lab Number: STB 3-17919 0 CIO ii a co <br /> T N <br /> Samp Date Time <br /> Num Location Description Sampled Sampled 2 a M 00 O w <br /> 0 17a%cl Blank G LBW 4 <br /> 1 G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Dais: Time: <br /> Received/B l yD�ate: �I j,++ Timiie: Received By: Date: Time: Received By: Date: Time: <br /> Received/ <br /> `- t! W I <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 />