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CHAiri OF CUSTODY <br /> ENVIRONMENTAL FGL AGRICULTURAL Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> I IIIII II�III III III IIIN�III III 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Clipt: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. h <br /> Stockton,CA 95205 3 <br /> v <br /> Phone: (209)168-3452 Fax: x <br /> Contact Person: Scott Sangalang W Q Z6b 1 y ¢ y <br /> Project Name:1S67TZ Seldoe�' �'r� r t7 m v 'o x <br /> y VJ <br /> Purchase Order Number: fi$�at(6 U w 3 6 _. <br /> W < ti <br /> Quote Number: ST 20160309-01 <br /> � a <br /> Sampler(s) ti y O o. A <br /> PS <br /> Is <br /> Sampling Fee: Pickup Fee: g 4 <br /> O. W 0 'O Fi N <br /> Compositor Semp Date:_/_/ Time:_/_ y E Z O vmdi .o Z v O u^ E <br /> U m 5z <br /> Lab Number: STK ` 3-17919 a E a a F a u <br /> Samp Date Time 3 Location Description Description Num Sampled Sampled .2 O c2 0, <br /> oN oL 6 <br /> v M <br /> W W <br /> I l.- 1 Vl a C4 3/31U lb($ G DW I 1,1 ;Z, 3 1 Wl <br /> Remarks: Relinquished J Date: Time: RelinAuished Date: Time: <br /> Relinquished I� Date: Time: <br /> 3U�G �Z' /�fJUUy1Y/7� Q� 5' `C(P I 1 / _III <br /> Receivelj By: Dare: Time: Recei B Date: Time: Rece'ved By: Date: Time: <br /> ► �i ICY �331 2c� 1�61� U�irW Iboo <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empress 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 /> 0 Phone:(805)392-2000 Phone:(209)942-0182 Phone:(630)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 />