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FGL Special CHAIPI OF CUSTODY <br /> • P www.fglinc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> 'IIII u� IIII 'l 'll IIIIII IIII 3S730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Heahh Dep <br /> Water Quality Division 3 a <br /> Ann:Scott Sangiaang x <br /> 1868 Fast Hazeiton Ave. v <br /> Stockton,CA 95205 3 c <br /> Phone: (209)468-3452 Fax: <br /> U O y <br /> Contact Person: Scott San W <br /> alang Q ZSa 1 Q E <br /> tg' h � <br /> Project Name: %S 75 r✓'C'^Gy CC4•'~P I�T O vWi m �n <br /> m <br /> Purchase Order Number: O 3O0 y a W <br /> v <br /> Quote Number: ST 20160309-01 toDo <br /> ¢ `3 <br /> E F <br /> Samplers) U H 00 a Q <br /> Le x ^ <br /> ao �9 W <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/ Time: Z O w v " v O v Z ='• E <br /> Um Cz tyE [— <br /> Lab Number: STK 3-17919 90 'o F a O 5, a F n n <br /> Samp Dare Time So, '� E v =o c o a x a 9 <br /> Num Location Description Sampled Sampled '• 0 iO `"$ 6 N 01 c> 0 c <br /> p mP E. a Ctl A 0 u <br /> 1 we t l 11-e 5/1 yl ts`t$ c Dw 1 1.1 �,(, 5/I N re4 S <br /> Remarks: Relinquished Date: Time: Reli uis Date: Time: Relinquished Date: Time: <br /> 17i irH�Z bj S 5 /-VA& a2-3 <br /> Receiv Date: Time: Received B Time: Received By: Date: Time: <br /> 0511 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Lahoratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empress Drive,Suite D 9411 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 /1/ 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)5254172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />