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S ecial CHAIN OF CUSTODY <br /> P www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> M1110011 IIII"MIMIIII 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 3 ii <br /> Atm:Scott Sanglaang x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 =° <br /> v <br /> Phone: (209)468-3452 Fax: x <br /> A M .. <br /> Contact Person: Scott Sangalang WOO pq$f., � y <br /> Project Name:006b 0,�}OWaxcA 9A,Stoj4 0t) O � <br /> Purchase Order Number: ce <br /> v 3 <br /> w <br /> Quote Number: x <br /> _' o <br /> Sampler(s)s) PjG CX, ME uwt Z_ <br /> o W) a O <br /> on c O '� O <br /> 4 <br /> Sampling Fee: Pickup Fee: <br /> c u 'o 7-0 p, <br /> Compositor Setup Date: ! !_ Ti e: / E E. z O x Z; °q <br /> -- E c� <br /> Lab Number: STK — 5 3-17919 0 rAA a o p <br /> 0 0 <br /> SampDate Time -5 o u '� E <br /> Num i Location Description Sampled Sampled 0 E= <br /> I W \Wph 4 J 0C) G DW 3 <br /> {C:C:—ir'„{; •.r i,s::�^—1 a.. <br /> :J 1ir,;l:.ish d Date: <br /> PMM 4/361-L4-lis°- - - -- Z in ! a6S 510 <br /> t jiv__ Ey: ri;:: . :i;^_. _...-. +;; :i:: _ ax: ;Ftc iveu BY* Date: imp i <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory_ Office&Laboratory Office$: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 />