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. CHAIN OF CUSTODY <br /> IF Special www.fgmc.com <br /> Laboratory Copy (1 of 2) <br /> Cheillists <br /> 35731:04/03/2023 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 a <br /> Attn:Scott Sanglaang a <br /> 1868 East Hazelton Ave. <br /> ca <br /> Stockton,CA 95205 3 <br /> v <br /> Phone: (209)468-3452 Fax: W y a <br /> vv1s?.S <br /> Contact Person: Scoottt Sangalang <br /> Project Name:��SU-1 5•�,O�M'MQ�S �41�, O �° <br /> Purchase Order Number: Cn <br /> U W y <br /> w > <br /> Quote Number: o Q E ^ <br /> Sampler(s) O <br /> W <br /> O s vi O <br /> Sampling Fee: Pickup Fee: 5 °' c a <br /> Q <br /> Compositor Setup Date: 1 I Time: / E Q z O v m <br /> w e a q <br /> Lab Number: STK 3tP-7 3-17919 0 &0Ca a 0, g p <br /> V <br /> amp Location Description Date Time a M o ��1 r a o <br /> Num Sampled Sampled E. a con* as O w v <br /> 1 ` DW 3 <br /> Remarks: Relinquished Date: Time: Rel' fished Da Time:• Relinquished Date: Time: <br /> US t 3G �3 l 3GC/ <br /> Receiv By: ate: Time: Received By: Date: Time: Received By: Date: Time: <br /> 2W <br /> 11M0 <br /> Comorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linda 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93080 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 />