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<br /> <br /> <br />Special CHAIN OF CUSTODY <br />www.fglinc.com <br />Laboratory Copy (1 of 3) <br /> <br />ENVIRONMENTAL AGRICULTURAL <br /> <br />Analytical Chemists <br /> <br />11 11111111111111111111110111111111111111111111111111111 35730:02/06/2017 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information Client: <br />Address:. <br />Phone: <br />Contact <br />Project <br />Purchase <br />Quote <br />San Joaquin County EHD <br />San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />1868 East HazeIton Ave. <br />Stockton, CA 95205 <br />(209)468-0331 Fax: <br />Person: Rodney Estrada <br />Name: q ti G o A./". i,,, vve4.-- s6‘.c. Kci • <br />Order Number: ,;--ED az..._.4.7/1, ci (7.5-,„ /0 <br />Number: Number: ST 20160309-01 Method of Sampling: Composite(C) Grab(G) Type of Sample **SEE REVERSE SIDE** Potable(P) Non-Potable(NP) Ag Water(AgW) Bacti Type: Other(0) System(SYS) Source(SR) Waste(W) Bacti Reason: Routine(ROUT) Repeat(RPT) Replace(RPL) ..-Other(0) Special(SPL) <8 r-'r' EA <br />t rl <br />Y <br />g 9-"-- <br />q.., '-' -cEi F,'1 Li — <br />t:', o co <br />0 ,0 — <br />cn 73 o <br />: 74 a -6 <br />ti) c., CD cv <br />.,7). <br />2 <br />- E-i-J <br />E: <br />0 <br />0 <br />ri.r F -4 <br />n <br />g ii <br />. S-2 ta. <br />:2 z <br />ta. :::: <br />t,.. <br />74-.) <br />X a <br />1.1 7 <br />Sampler(s) <br />Sampling <br />Compositor <br />-T - <br />Fee: Pickup Fee:= <br />Setup Date: / / Time: /4.! <br />Lab Number: STK c.,,/j....4 7.32.0 3-17919 <br />Samp <br />Num Location Description Date <br />Sampled <br />Time <br />Sampled <br />1 ink:il k _Af-1 yi.1 10 , A,-- G DW 1 1 ,1,1 4/07,4fr 1 1 o;..s <br />Remarks: <br /> tr+) <br />Repriquished <br />t <br />Date: Time: <br />12-j() 5/2441 <br />R . uished / , Date: Time: <br />1 --) /9‘ 74 91 1-70-76 <br />nrii <br /> <br />iiihed Date: Time: <br />Rea:. y Pen _ Date: Time: Received By: ;Date: Time: (\eceitie <br /> <br />dtirct;11 /—kr-C <br />: • Date: Time: <br />r ' <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />Phone: (805) 392-2000 <br />Frw Fnv• (SUIR \ R')R_A 17') / tonc\ •Inn <br /> <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />Phone: (209) 942-0182 _ <br />Office & Laboratory <br />563 E. Lindo <br />Chico, CA 95926 <br />Phone: (530) 343-5818 <br />Office & Laboratory <br />3442 Empresa Drive, Suite D <br />San Luis Obispo, CA 93401 <br />Phone: (805) 783-2940 <br />Office & Laboratory <br />9415W. Goshen Avenue <br />Visalia, CA 93291 <br />Phnnra- (5cOl 7qA_OA71