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ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />Special CHAIN OF CUSTODY <br />P www.fglinc.com <br />Laboratory Copy (1 of 1) <br />1111111111111 11� 11 11E 11111111111111111111 illi 11111111 <br />3,:730:02.06;2017 <br />1"\cuc'1dc 1,11 C";ntewcl. I'ic,rr%au%c .uid Sarnl)hng i6l,vncui,u1 <br />Client: .< San Joaquin County EHD <br />Address San Joaquin Co. Environmental Health Dep <br />�. Water Quality Division <br />a <br />Attn: Rodney Estrada <br />3 <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />= <br />Phone: (209)468-0331 Fax: <br />Contact Person: Rodney Estrada <br />b <br />Q <br />/ <br />Project Name: ��C_-�=6r/I'GNi�6 <br />Purchase Order Number:CL <br />w <br />Quote Number: ST 20160309-01 <br />N <br />U <br />a <br />" <br />¢ <br />z <br />Cn <br />v <br />F" <br />00 <br />a <br />or <br />F - <br />Q <br />Samplers) . /� GEs✓t ,..//JJ �// `� <br />/7'�7 <br />Ln <br />x <br />A <br />O <br />Sampling Fee: _ Pickup Fee: <br />N <br />R' <br />Compositor Setup Date: / / Time: / <br />— <br />E <br />n <br />Q <br />E <br />z <br />0 <br />a <br />i a <br />cn <br />0 <br />= M <br />oz <br />U <br />M <br />O <br />yz <br />z = <br />N <br />E <br />Lab Number: STB3-17919 <br />o <br />-S <br />c <br />" <br />a <br />a <br />oa <br />o <br />`= E <br />c E <br />= x <br />b x o <br />x <br />b <br />Sam p <br />Date <br />Time <br />Num <br />Location Description <br />Sampled <br />Sampled <br />v <br />a <br />F <br />ate. <br />m <br />r <br />G <br />DW <br />I <br />1.1,1 <br />TSS LS <br />'C1f <br />Remarks: <br />Relinquished Date: Time: <br />R nqu hed Date: Time: <br />Relinquished Date: Time: <br />Rweiwd%By- Da Time: <br />Received By: D7: Time: <br />Received By: Date: Time: <br />Corporate Offices & Laboratory Office & Laboratory <br />853 Corporation Street 2500 Stagecoach Road <br />V Santa Paula, CA 93060 Stockton, CA 95215 <br />�) Phone: (805) 392-2000 Phone: (209) 942-0182 <br />V ' 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 />3442 Empresa Dr Suite <br />San Luis Obisp , 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 />