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--- CHMN OF CUSTODY <br /> RAL 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 3 a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person: Rodney Estrada <br /> o <br /> Project Name: v, <br /> Purchase Order Number: U w <br /> tj Q y a w <br /> Quote Number: ST 20160309-01 <br /> 8 o00 <br /> F <br /> Sampler(s) w z y F <br /> o v> > p a A <br /> U * O <br /> * x <br /> Sampling Fee: Pickup Fee: a a O a O <br /> CD M N <br /> Compositor Setup Date: /_/ Time: / E p z O =z O <br /> — o cn o g zE- <br /> Lab Number: STK 3-17919 0 ii o x h x x <br /> o E•• a �" H II <br /> amp Date Time o5 0 '0. 4 U � o o x <br /> Location Description d T o M ro o v, 2 <br /> Num Sampled Sampled a m as O U c7 c V, <br /> t G DW 1 1.1.1 <br /> Remarks: Relinquished Date: Time: Relinquished Dale: 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 />