Laserfiche WebLink
CHAIN OF CUSTODY <br /> Special www.fglinc.com <br /> Analytical Chemists 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 <br /> Attn:Rodney Estrada a <br /> 1868 East Hazelton Ave. lu <br /> co <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> Project Name: ,�jt9 QO 'I r, i)hT I Grp O vi v°� <br /> Purchase Order Number: (✓ y1 �? a u5a <br /> Quote Number: ST 20160309-01 <br /> o00 <br /> F <br /> Sampler(s) 0 z A <br /> U * ?? W a O <br /> Sampling Fee: Pickup Fee: c a a n <br /> 0. <br /> Compositor Setup Date:_/_/_ Time: /_ �£ z O a o z c z w A F <br /> C x <br /> Vi <br /> Lab Number: STK J / 3-17919 0 w a p o <br /> caC <br /> Date Time -S <br /> � <br /> b bSamp Location Description b <br /> M o w i2 <br /> Num Sampled Sampled u.7, <br /> 1 i G DW <br /> Remarks: Relinquished IDat7: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Reoeived 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 />