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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Anal),tical Chemists Laboratory Copy (1 of 2) <br /> 35731:01/01/2024 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 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a, <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott SSangalang <br /> Project Name: <br /> Purchase Order Number: W a <br /> Quote Number: y a ¢ `� <br /> .� <br /> Sampler(s) o Z >, O <br /> con <br /> Sampling Fee: Pickup Fee: S 1 O c a., <br /> Compositor Setup Date: / / Time: / E & Z O a v CL A <br /> v� E <br /> Lab Number: STK SJ 3-17919 a V p ;g O <br /> Samp Date Time a, v <br /> Num Location Description Sampled Sampled t~ a° M cc <br /> M O w S <br /> G DW <br /> TT <br /> Remarks: Relinquishe Date;S� Time: Relinquished Date: Time: Relinquished Date: Time: <br /> In� <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> a?'=lf 0, ..�s- ` 1 S -��� thio c ��- �- <br /> rj CoEporate Offices&Laboratory Office S Laboratory Office&Laboratory Office&Laboratory Office 8-Laboratory <br /> ` ,��L 853 Corporation Street 2500 Stagecoach Road 563 E.Lando 3442 Empresa Drive,Suite D 9415 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)7349473 <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 />