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ENVIRONMENTAL = AGRICULTURAL <br />Analytical Chemists <br />Special CxAirl OF CUSTODY <br />P www.fglinc.com <br />Customer Copy (2 of 3) 4 <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />I I <br />35730:02/06/2017 <br />TEST DLSCRIPTION - See Reverse side foi"Contsiner, Presetva[ive and Sampling <br />information <br />Client:; San Joaquin County FHD <br />I <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />a <br />z <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />a <br />Phone: (209)468-0331 Fax: <br />ro <br />Contact Person: Rodney Estrada <br />\ <br />Project Name: \\ ���� -�' �`..\� 'C C <br />vWi <br />rn <br />Purchase Order Number: <br />Quote Number: ST 20160309-01 <br />y <br />x <br />N <br />0 <br />O <br />W <br />( <br />_ <br />z <br />� <br />O <br />o <br />OO <br />5 <br />F <br />A <br />i <br />Sampler(s) c \ � <br />U <br />* <br />,�, <br />a <br />c <br />x <br />ao <br />N <br />O <br />w <br />Sampling Fee: Pickup Fee: <br />a <br />ri <br />o <br />Compositor Setup Date: _/_/_ Time: /_ <br />v� <br />o <br />�, <br />E <br />w <br />z <br />a <br />Oa <br />T <br />-. <br />z <br />° <br />U a <br />,�, z <br />S o <br />a¢ <br />is, <br />A <br />F <br />o <br />Lab Number: STK 3-17919 <br />,��, <br />oN <br />Samp <br />Date <br />Time <br />Location Description <br />Sampled <br />Sampled <br />"^a <br />O <br />U <br />Cc7 <br />ix <br />iNum <br />G <br />DW <br />Remarks: <br />Relinquished Date: fume: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: 'Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Phone: ;805) 392-2000 <br />Phone: (209) 942-0182 <br />Env Fax: (805) 525-4172 /Ag Fax: (805) 392-2063 Fax: (209) 942-0423 <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Fax: (530) 343-3807 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Visalia, CA 93291 <br />Phone: (559) 734-9473 <br />Fax: (559) 734-8435 <br />