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CHAIN OF CUSTODY <br /> • -= SpecialENVIRONMENTAL AGRICULTURAL www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> I111111IIIIII111111�IIIIIIIIIII�IIIIIIIIIIIIIIIIII'IIIIIIIII 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 I 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 ;, <br /> a <br /> Phone: (209)468-3452 Fax: U w 3 <br /> Contact Person: �cott Sangalang S <br /> C7 W g °o a <br /> Project Name: rn <br /> Purchase Order Number: <br /> w ¢ x <br /> Quote Number: " w <br /> c W a v :Z)Sampler(s) V vwi a <br /> D <br /> o O C� O <br /> Sampling Fee: Pickup Fee: 5 a o , a <br /> a °= o � � oUq <br /> Compositor Setup Date:_/_/_ Time:_/_ E z O 0Ja [ a. q <br /> B O� _ <br /> Lab Number: STK 3-17919 0 C% a a M— "t p <br /> 00 ?? E� a� (=>> <br /> Samp Location Description Date Timelu T o � '0 <br /> Num Sampled ampled 2 F, a cq as 0 w a <br /> t G DW 3 <br /> I —1 <br /> i <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> ,Received 13\: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 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 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 />