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"CHAIN OF CUSTODY <br /> Special www.fglbtc.com <br /> Analytical Chcmis(s Laboratory Copy (1 of 2) <br /> Iq Ili 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c. <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang W <br /> Project Name:11ZO N.1141 6a"411 Ca C7 a cc vi <br /> Purchase Order Num ` >Quote Number: <br /> Zwx11A(q) <br /> o <br /> Sam ler(s) E w z y 0 <br /> P o w >, O <br /> ad <br /> ^ a <br /> Sampling Fee. Pickup Fee: [ a' a <br /> a <br /> Compositor Setup Date: I I Time: I E z p a M <br /> a <br /> cc <br /> Lab Number: STK3-17919 0 a M � p <br /> Samp Date 4&mpled <br /> •s �, <br /> Num Location Description Sampled 0 E; a° c a caO w vi t a4l�f e _ZZG DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished D te: Time: Relinquished Date: Time: <br /> fiAw*-L 5 ZZ Z 17(V 6&S '51a/1Y //? <br /> 9� ReceivE Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> 64 / <br /> 5 Z J Z Z 1 v� <br /> rporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory 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)392-2053 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />