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r <br /> CHMM OF CUSTODY <br /> ENVIR6vMENTALI� AGRICULTURAL Special www.fglinc.com <br /> Analytical Chemists <br /> Customer Copy (2 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 w <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 a <br /> Phone: (209)468-0331 Fax: w x <br /> Contact Person:o�IoMy Estrad 1 <br /> Project Name: 5 t- 'M( t G n <br /> Purchase Order Number: C A '1O v w 3 —• <br /> Y � <br /> Quote Number: ST 20160309-01 <br /> El o F <br /> Sampler(s) as w 0 A <br /> Sampling Fee: Pickup Fee: .S " ? ° a <br /> a <br /> Compositor Setup Date: / / Time: / 6 a z O a: 0 :i5 Z O <br /> --- -- 0 O aCIO 5 0 z A <br /> Lab Number: STK 3-17919 0 a. a �N vqp x y x x <br /> Saint) Date Time n 'U c o x 9 b <br /> �.ci Location Description M M Sampled Sampled " ' U <br /> P P F- a O <br /> I G DW <br /> Remarks: Relinquished Date: Time: Relinquished Dace: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Officb&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 />