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FGL OWN OF CUSTODY <br /> ENVIRONMENTALS Special <br /> www.fglinc.com <br /> H It I'I' Laboratory Copy (1 of 2) <br /> Ilf I���wl pI 1111 III''111III VIM 35730:1 1/0112 0 2 3 TITS DESCRIPTION - See Reverse side tor Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division •— <br /> Attn: Scott Sanglaang 3 z <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 ax A7fj016LM U O 3 ti <br /> Contact Person: Scott Sangalang /t f ) rn G 8 <br /> Project Name:Z5g3� �.V�iIIC'" 14'1/� (7 w B 'o <br /> M 64 N m n m <br /> Purchase Order Number: F,SCw t m <br /> Quote Number: ST 20160309-01 = a <br /> $, E t- <br /> Sampler(s) V *ai z N O w <br /> %evvA, IiCWG� a a N 0 <br /> m o o eh ¢o w <br /> Sampling Fee: Pickup Fee: __ o `v 'o m a y _ aI- <br /> a <br /> Compositor Setup Date: / Time: _ z O_ v z y v�v <br /> Lab Number: STK 3-17919 z oA <br /> E <br /> c <br /> Samp Date Time 6 c is =o E v S o o <br /> Num Location Description Sampled Sampled pT, d m O U= U N iz. w <br /> 1 wc11 Wmol lI1HfZ6 VJ0 G DW I 1,1 'C 4 V14 IGIG <br /> t t <br /> ------ <br /> :;,:I:kw: }°arc; Time. (Relinquished Date: Time: <br /> IV O I C 11s z 1110 <br /> Date: 'iim_^ iRecetrol By: Date: Time: <br /> l�a[o 'C 11512(fl I )IG <br /> Corporate Offices&Laboratory Office&Laboratory Office 8 Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 3442 Empresa Drive,Suite D 9411 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Env Fax::(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-042382 Fax:(530)343 380718 Fax:(805)783-29 2�0 Fax:(559)734-843573 <br />