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CHAIN OF CUSTODY <br /> ENVIRONMENTAL � AC . ,JRICULTUSpecial 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 /> t <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =°• <br /> a <br /> Phone: (209)468-0331 Fax: w y x <br /> Contact Person: Rodney Estrada <br /> Project Name:l j U C7 rn Cd <br /> Purchase Order Number: U w 3to V) <br /> Quote Number: ST 20160309-01 a `" x <br /> Sampler(s) 0 V) z °O A <br /> U * a3a O <br /> en ,N°o w <br /> Sampling Fee: Pickup Fee: c a `� a� aF <br /> C C N Cn y I <br /> Compositor Setup Date:_/_/_ Time: _/_ E a, z p x ,", zdd O z <br /> co E o ve'i c g zE- <br /> Lab Number: STK / `. 3-17919 o h T U M a c a <br /> ° a°i E <br /> Samp Date Time o ° o a c x <br /> Location Description d > ° �, � <br /> Num Sampled Sampled F a CC COO U= 0 N � w U. <br /> G DW <br /> .J <br /> t <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received Bc: Date: I imc: Recck c(l B%: 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.Undo 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 />