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Special CHAm OF CUSTODY <br /> 010 P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIillllllllllillllllllllllllllllllllllllllllllllllll 35731:01/01/2024 TEST DESCRIPTION - See Reverse side for Container, Preservative and Samplin= information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =° <br /> >s <br /> v <br /> Phone: (209)468-3452 Fax: w 3 x <br /> C7 � <br /> Contact Person: Scott Sangalang ° Q ¢ i <br /> x <br /> Project Name: e t✓) V) <br /> Purchase Order Number. W a <br /> Quote Number: x _ <br /> a,.Ei <br /> Sampler(s) o LQ z O <br /> w � �� O <br /> Sampling Fee: Pickup Fee: _ <br /> c <br /> Compositor Setup Date: /_/ Time:_/ E a Z O <br /> 'n E o La <br /> Lab Number: STK 3-17919 o n a n p <br /> a <br /> Sam p Date Time '� y ¢ E <br /> Num Location Description Sampled Sampled 2u a° M p °W <br /> I G DW 4 <br /> I <br /> L <br /> l <br /> Remarks: Relinquished Date: Clnle: Relinquished Date: Time: Relinquished Date: Time: <br /> i <br /> Received By: Date: Time: (Received By• Date: Time: Received By: Dat_•: Time: <br /> � I 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 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)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 />