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FGL <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL ACIRICULTURAL Special www.fglinc.com <br /> Analylic,il Chemists <br /> K Custcier Copy (2 ttt i) <br /> 3 f <br /> VIIIIIII �I'111 35730:02/06''n 17 _ TEST DESCRIM!()N - See Reverse side for Container. Pr;_ervative and Sampling infixmation <br /> • <br /> Clil:r_t: San Joaquin County EHD <br /> t <br /> Adtess: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> r Atm:Rodney Estrada t <br /> 1868 East Hazelton Ave. <br />' Stockton,CA 95205 fl <br /> Ph4e: (209)468-0331 Fax: w 3 <br /> Coriact Person: Rodney Estrada p ( c Q <br /> Proj ct Name: b l�< <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> w d <br /> V) a <br /> ¢ w o F <br /> Sampler(s)��\ ` t o z > O A <br /> 6bO w` <br /> ^ N,J O .p� Q' � <br /> Y+ W <br /> Sampling Fee: Pickup Fee: S ; o , a vNNi a�D <br /> Compositor Setup Date: / /_ Time:_/_ 5 z Oz c z iy A F <br /> 0 <br /> Lab Number: STK 3-17919 <br /> amp Description Date Time -c- <br /> Location <br /> Num Sampled Sampled E a m m O = C7 N u-_: is u <br /> l G DNV <br /> Remarks: Relinquished Dace: Time: Relinquished Date: Time: Relinquished Dale: Time: <br /> Received B Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> %qA!, <br /> Corporate Offices&Laboratory Office&Laboratory 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 />