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Special CHAIN OF CUSTODY <br /> -ENVIRONMENTAL AGRICULTU <br /> . , p www.fglinc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlII 35730:11/01/2023 TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling information <br /> Client San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn: Scott Sanglaang u x <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: <br /> a <br /> G J Q <br /> Contact Person: Scott Sangalang -a/V W m <br /> G <br /> Project Name: ?/)!4 C 4 LG✓✓O� 1 !!1(� n <br /> Purchase Order Number: 5 > ¢ uj <br /> Quote Number: ST 20160309-01 o a <br /> CL W <br /> Sampler(s) o vwi Z <br /> e U * = a: a O <br /> J 0 0 .�a ¢o <br /> Pickup Fee: <br /> Sampling Fee: 5 ° vNi j <br /> c <br /> Compositor Setup Date:_/_/_ Time:_/_ Z O c .o z c Oz v Ca N <br /> 0 <br /> Lab Number: STK 3-17919 0 V a o. U m x x x <br /> v >, a�O Ea `a a c <br /> Samp Location Description Date Time fl, o o -5 -60 L,o. v �, <br /> Num Sampled Sampled � F. a m w O U - (D cu w-: LT. <br /> 1 G DW <br /> emarks: is?ucs Date: i tetin yuisS;e{ Date: Time: ERelinquished Date: Time: i <br /> B. Datc: ime: Received By: Date: Time: <br /> I <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 />