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CHAIN OF CUSTODY- <br /> (E-Gt Special www.fgUnc.com <br /> Analytical Ch(.-mists Laboratory Copy (1 of 2) <br /> 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 aa^. <br /> Attn:Scott Sanglaang <br /> 1868 Fast Hazelton Ave. W <br /> Stockton,CA 95205 3ca <br /> d <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q v <br /> Project Name: Zq p 'ey Me+�/� <br /> Purchase Order Number:WPCV yL V.7— �C�ir� U w y –' <br /> Quote Number: ST 20160 09-01 !! y a <br /> a. �. E H <br /> Samplers) j O A <br /> .a <br /> O <br /> Cp O O •a C Q O :° W <br /> v <br /> a F <br /> Sampling Fee: Pickup Fee: S ; 'o Nc U3 <br /> Cn <br /> Compositor Setup Date: I 1 Time: I 6 z0 a ` �'Z -O -°�zLr � E <br /> rA :. 9 Z <br /> Lab Number: STK 3-17919 0 U ra 0 .� A <br /> O y d yO C O C :2 O 'O <br /> Samp Location Description Date Time 0 c U 0� c N 0 <br /> Num /� Sampled Sampled E» a M MO U-� 0 cv iz <br /> 1 �C -�L–Z J4 G DW 1 1,1 -1,0 <br /> Remarks: Relinquished Date: Time: Date: Time: Relinquished Date: Time: <br /> lIz- -��.n� "��✓ \_�a n°6 CA L's ► �3 Z ill <br /> Received By: Date: Tune: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory_ Office&Laboratory Office&Laboratory Office& Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa DO uite 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo, 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 />