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CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL 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 3 .a <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-0331 Fax: w �_ <br /> 00 � <br /> Contact Person: Rodney Estrada d H <br /> Project Name: <br /> Purchase Order Number: pt^te,,!tr� C v W „o _ ua <br /> Quote Number: ST 20160309-01 y W (n w <br /> o W L4 ay�i oho A <br /> Sampler(s) U O a0 <br /> a d 2 <br /> Sampling Fee: Pickup Fee: 5 <br /> Compositor Setup Date: / / Time: /— 6 p z p fl �'z d O z E <br /> �z Q F <br /> Lab Number: STK 3-17919 o cis p^ a x <br /> 0 c <br /> Samp Date Time & 6 '� =0 v o 2 x v <br /> Num Location Description Sampled Sampled H a° ai m`"O U c7 N u4 a w w <br /> r <br /> G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory i 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 />