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CHAIN OF CUSTODY <br /> ENVIRONMENTALSpecial www.fglinc.com <br /> f+ Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII,IIIIIIIIIIIIIIIIII 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 3 <br /> 1868 East Hazelton Ave. N ;, <br /> Stockton,CA 95205 3 0 <br /> o. <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalang A Q <br /> Project Name: <br /> Purchase Order Number: U w 3 n <br /> ao <br /> Quote Number: N a <br /> Sampler(s) E w ° L j <br /> z o <br /> Sampling Fee: Pickup Fee a c O <br /> v o a <br /> Compositor Setup Date:_/_/_ Time:_/_ E o z O <br /> Lab Number: Cn E N Ca <br /> STK 3-17919 0 � a a o <br /> 0 " H ao o> <br /> Samp Date Time -S U ¢ E <br /> Num Location Description Sampled Sampled H a w' r-0 O w a <br /> 1 G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time:FRefinquishedDate: Time: <br /> Received By: Date: Time: Received By: Date: Cimc: Date: Time: <br /> 00J onion Street <br /> te Laboratory Office$Laborat ry Office&Laboratory Office&Laboratory <br /> 853 Corporation Street Office&Laboratory <br /> Santa Paula,CA 93060 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive,Suite D 9411 W.Goshen Avenue <br /> Phone:(805)392-2000 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:Phone:00)783-92940 Phone:(559)734-9473 <br />