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1� FGL Special CHMN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> I IIIIIIIIIIIIII�IIIIIIHIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINII 35731:01/01/2024 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> (Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> j Attn: Scott Sanglaang 3 a <br /> I 1868 East Hazelton Ave. <br /> I b b <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang 4 <br /> Project Name: C' C, a 3 v Q <br /> Purchase Order Number: L t ,(] j v, A j <br /> Q <br /> Quote Number: o a <br /> n W a E E" <br /> Sampler(s) U <br /> 3 a c <br /> Sampling Fee: Pickup Fee: c e° o O <br /> a. <br /> Compositor Setup Date: /_/— Time:—/— E c z O <br /> n E o O <br /> Lab Number: STK 3-17919 0 a a p <br /> Sam Date Time S o Q <br /> Num Location Description Sampled Sampled a° �q p w <br /> 1 G DW 4 <br /> i <br /> In.masks: iRelinquished Date: Time: Relinquished Date: Time:' <br /> (Relinquished Date: rime: <br /> —4— -- <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices 8,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 />