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FGL <br />ENVIRONMENTAL AGRICULTURAL <br />Analytical Chemists <br />CHAiri OF CUSTODY <br />Special www.fgUnc.com <br />Laboratory Copy (1 of 2) <br />III IIIIIII IIIIIIIIIIIIIII <br />35730:11/01/2023 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: San Joaquin County EHD <br />Office & LaboratoN <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />�Q <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783.2940 <br />Phone: (569) 734-9473 <br />Address: San Joaquin Co. Environmental Health Dep <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Water Quality Division <br />Atm: Scott Sanglaang <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />^' <br />a <br />Phone: (209)468-3452 Fax: <br />Contact Person: Scott Sangalang V1 �, r I ,; va1 <br />Project Name: 8e I Mah11a 12 ad vuh1mr <br />in <br />t <br />rn <br />m <br />h <br />m <br />Purchase Order Number. <br />U <br />rn <br />m <br />n <br />— <br />Quote Number. ST 20160309-01 <br />'— <br />$ <br />o <br />on <br />� <br />¢ <br />w <br />r <br />E <br />y <br />� <br />O <br />r✓ <br />F <br />q <br />O <br />Sampfer(s) {rye � /��� /� <br />l <br />,S'WlAS" <br />V <br />V <br />* <br />N <br />� <br />°or <br />e 0. <br />.0 <br />Q <br />Sampling Fee: Pickup Fee: <br />,9 <br />C <br />`v <br />o m <br />a 0 <br />- <br />S <br />Compositor Setup Date: /_ Time: <br />W <br />a <br />zo <br />p <br />x a <br />= z <br />v O <br />A <br />2 <br />_/_Q _/_ <br />y <br />a <br />U <br />$ <br />U m <br />5 x <br />,��, <br />IE <br />C1 <br />E. <br />$TK SS <br />Lab Number: (� O�g,� 3-17919 <br />o <br />o <br />F <br />'a <br />O <br />-a o <br />€ on <br />= E <br />a <br />u E <br />F <br />a <br />s <br />c <br />c <br />:2 <br />Sam <br />Date <br />Time <br />Num <br />"don Description <br />Sampled <br />Sampled <br />F <br />ao <br />w <br />w O <br />U =' <br />t7 N <br />'IZ =' <br />w <br />ii <br />2 <br />2S <br />0',qOaM <br />G <br />DW <br />1 <br />1,1 <br />Remarks: <br />Relinquished Dam: Time: <br />nqu12'12[Z 01-2q <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />�v�z��113°I <br />12IU 1-7w <br />16 Z- <br />Received By: Date: Time: <br />Receiv By: Date: Time: <br />Received By: Date: Time: <br />LS <br />lS 1gzc 17c <br />WL Iz 3 T /D2 <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laborato <br />Office & LaboratoN <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />�Q <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783.2940 <br />Phone: (569) 734-9473 <br />Env Fax: (805) 525.4172 / All Fax: (805) 392-2063 <br />�� <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />