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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> MINE 1011111 Mill I 35730:11/01/2023 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 J <br /> Attn:Scon Sanglaang a <br /> 1868 East Hazelton Ave. vi <br /> Stockton,CA 95205 <br /> Phone: (209)468-3452 Fax: x <br /> Contact Person: Scott Sangalangt N A <br /> Project Name:�6jL �1$l�01 1'7� w o <br /> p ctq (,4�[53�i.6 a 3 ti n <br /> Purchase Order Number: ul <br /> Rl� 1 <br /> Quote Number: ST 20160309-01 o x ¢ E E- <br /> a w a E F <br /> Samplers) U V3z T O A <br /> pct` (.e�� = a a o <br /> m oo �� ¢o w <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_/_/_ Time:_/_ E c, z p o .z „ ;, - m <br /> W ei U o C <br /> Lab Number: STK a on 3-17919 0 v N <br /> "' w <br /> c o v H ai a <br /> 94i _ = <br /> E ETie 0� <br /> Samp Date N0Location Description o <br /> Num Sampled Sampled a m M O U O N Fvu0 <br /> aIl <br /> a cu <br /> w._: 93, U. <br /> G DW 1 1.1 -�Z._I Z 4I-M 1S <br /> -- — — <br /> ;gc;i;a;+; 1?eti�tqui�I cJ Date: Time: Iltelinqu a Dx e: T;tne: Relinquished Date: Time: <br /> 1 <br /> L V/14114 tqP <br /> i�rce v:= 3y: 1)at : '!•une: Received By: Date: Time: Received By: Date: Time: <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 b Phone:(530)343-5818r Phone:.(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 1� Fax:(530)343-3807 ���' Fax:(805)783-2912 Fax:(559)734-8435 <br />