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Special CHAIN OF CUSTODY <br /> P www.fglinc.com <br /> Laboratory Copy (1 of 2) <br /> MOEM 101111111 1 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EII1D <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division .1 <br /> a, <br /> Attn:Scott Sanglaang y x <br /> 1868 East Hazelton Ave. 3 u <br /> cc <br /> Stockton,CA 95205 <br /> c. <br /> Phone: (209)468-3452 Fax: * x <br /> c? w 3 <br /> Contact Person: Scott Sangalang A d <br /> --Q .. a <br /> Project Name: 1S Q✓-1 v� in �i <br /> Purchase Order Number: C/A (e L C 14 ,fl a <br /> Quote Number: cvS3(o 1 o a Q W _ <br /> a W a E F <br /> Sampler(s) c z T p <br /> O <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: ! / Time: /_ fl z p a <br /> E �� QQ <br /> Lab Number: STK q—_Z 3-17919 0 M a M v O <br /> of <br /> Samp Date Time S <br /> Num Location Description Sampled CSampled v F a° w oa O w <br /> G DW 3 <br /> Rrmerb : —Reltny:SSRGd Date: •:i:a_ Relingitished Date: ,Fiore: Relinquished Date: Tinto: <br /> jftecc:ve:i By: Date: Thee: !Received By: Date: Time: Received By: Date: Time: <br /> t <br /> Cornorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Labaratory 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 93050 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)7349473 <br /> Env Fax:(805)525-4172 1 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />