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FQL <br /> Crlmri of CUSTODY <br /> ENWONMENTAL AGRICULTURAL Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> �I�I III IiI II I I IIII II II 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client San Joaquin County END <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Am:Scoa Sanglaang 3 s <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> v <br /> Phone: (209)468-3452 Fax: <br /> 0— w 3 14 <br /> Contact Person: Scott Sangalang 4661599 12 ¢ 2 a <br /> Project Name: <br /> 3es1 W.�Ct,\prt Rd.Trtat� � h <br /> Purchase Order Number: W 4 6 <br /> Quote Number: ST 20160309-01 a <br /> E [— <br /> Sampler(s) <br /> r� U y v N a <br /> %6M W�l n�.�.S x o O y ¢O a ul <br /> Sampling Fee: Pickup Fee: <br /> Compositor Scrap Date: Time:_ / E g z O ^+ E O <br /> y E °v'i ez c_z w� F <br /> Lab Number: STR e) 1ito 3-17919 o F €a E a <br /> Samp Date Time Sn 9 .V .V °' o o a x 9 <br /> Num Location Description Sam led Sam led " '' O ' tO ° v u a v v <br /> ,�` P of PG F a m m 0 U U N U._: <br /> 1 wV+� h Zk I% 1 G DW 1 I.I �. �QI{ av if ta. <br /> Remarks: Relinquished Date: Time: Relmq - h Date: Time: Relinquished Date: Time: <br /> 4\6#=�;�1as oa1�tlw (o:yD 09 W1 Zlo ►iov s 2 r c <br /> Receiv By: Date: Time: Receiv B ' ate: Time: Received By: Date: Time: <br /> o8 o 1& iai �E, ag e�doi � V, 1-10 C13P\ gs/ Gil � <br /> Corporate Offices&Laboratory Office 8 Laboratory Office&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 /> Phone:(805)392-2000 Phone:(209)942-0182 LO 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 t Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />