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Analytical Chemists <br />Special <br />CHAIN OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3) <br />I 11 111 1111 111 11 1111 III 35731:02/00/2017 TEST DESCRIPTION - See Reverse side for Container. Freservative and Sampling information <br />(7,ierit: <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 Hazelton Ave. <br />Stockton, CA 95205 <br />(209)468-0331 Fax: <br /> <br />Person: Rodney Estrada <br />Name:44 <br />Order Number: <br /> <br />Number: ST 20160309-01 .24 <br />0 o <br />-a, <br />a <br />cn <br />§' <br />E 41 <br />e4 tz.1 <br />eti <br />Cf1 * * <br />v <br />Ft$ <br />cn <br />cn <br />. <br />^ <br />2,0 <br />,.., 0) <br />,...- 11 .0 <br />.n *z o , <br />""cl <br />.ci <br />.,,c <br />Z <br />E <br />.3 <br />3 <br />C4 <br />..) <br />co.) <br />>, v) <br />`,;3) <br />Z <br />„c o <br />0. <br />tej <br />s 0 <br />r4 <br />0 <br />,..., c4 <br />v <br />'F' 'id' ,,,,,F, <br />t <br />Sampler(s) <br />Sampling <br />Compositor <br />Fee: Pickup Fee: <br />Setup Date: / / Time: / <br />Lab Number: STK 3-17919 <br />Samp <br />Num Location Description Date <br />Sampled <br />Time <br />Sampled <br />0 Travel Blank G LBW 4 <br />I G DW 4 <br />Remarks: Relinquished Date: Time: <br />, <br />Relinquished Date: Time: Relinquished Ditie: Time: <br />Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratocy 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 />,