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Immio <br /> Special CHAirl OF CUSTODY <br /> . , www.fgUnc.com <br /> Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD -T <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division I 13a <br /> Attn: Scott Sanglaang a <br /> 1868 East Hazelton Ave. I j <br /> Stockton,CA 95205 3 <br /> c <br /> Phone: (209)468-3452 Fax: t*a 3 a a <br /> C7 � <br /> w <br /> Contact Person: Scott Sangalang yi 9 Q Q a <br /> Project Name: r_ <br /> Purchase Order Number: LL, e A`1536 6 U w 3 -' <br /> C4 <br /> Quote Number: ST 20160309-01 <br /> c w a E <br /> Sampler(s) o zLn <br /> > O O <br /> 1 L K * o O coa QQ W <br /> Sampling Fee: Pickup Fee: ° o 0.' r4 o F" <br /> r4m Z <br /> Compositor Setup Date:_/ / Time: / E Z O 0 <br /> c Z c O Q FE- <br /> Lab Number :STK 3-17919 0 a n V x x x <br /> v a 0 E a i s H II a n <br /> Samp Location Description Date Time y o o s o y a b <br /> Num Sampled Sampled <br /> 1 G DW <br /> 1 <br /> 1Pem� arks: (Relinquished Date: Time: Relinquished Date: Time Relinquished Date: Time: <br /> I <br /> (Received By: Date: Time: Received By: Date: Time: (Received Byi 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 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 />