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=CHAIN OIC- CUSTODY - <br /> _ Special www.fgbtc.com <br /> Laboratory Copy (1 of 2) <br /> 190111111111111 111111i l MI 11111 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 a <br /> 1,868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 C° <br /> a <br /> Phone: (209)468-3452 Fax: * ^ ^ x <br /> Contact Person: �Sco`gSangalaTg ccw <br /> Project Name. Gn 3 rn <br /> cc <br /> Purchase Order Number: W oG <br /> Quote Number: p a ¢ ,� <br /> a. ^ <br /> Sampler(s) E Z <br /> CV� a�> <br /> �4P-" <br /> o O •a� O <br /> � v <br /> Sampling Fee: Pickup Fee: 0 ; c p. <br /> �' z O c. <br /> Compositor Setup Date: / / Time: / E ¢, <br /> A .. E Qa <br /> Lab Number: STK p� 3 S3 I 3-17919 0 a fl. wp <br /> c 0' H a� ,�> <br /> Samp Date Time -M <br /> t,, y� ¢ <br /> V Q� <br /> Num Location Description Sampled Sampled >_: E: a° w m O CL,�v <br /> G DW 3 <br /> ; ;:N:. ::____ 2cii:�au:s's:,_;i �:t "s:c;:21:� =,_,�; i..�c�� ^ate: Fi1:1e: lRelinquished Date: Time: <br /> SQS E ��3 I r <br /> (DID �1�� ti?_ce, I>_ Dat•:: Dzite: i:,ic: JRec-,ivei By: Date: Time: <br /> Cornorate 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 />