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r 049MI11 ' . CHAIN OF- CUSTODY <br /> ENVIRONMENTAL'!'- AGRI CU LTU RAI., <br /> Special www.fgUnc.com <br /> Aimlyfical Chemists 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 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 c. <br /> Phone: (209)468-3452 Fax: a <br /> Contact Person: Scott Sangalan ¢ .. <br /> Project Name: /�'��• Y Ww�- C7 a ri, _. <br /> Purchase Order Number: q� <br /> Quote Number: ST 20160309-01 �•�.!! N a ¢ <br /> Samplers} o z >. O A <br /> 0 <br /> o OQO `O W <br /> Sampling Fee: Pickup Fee: c py C14 <br /> M <br /> Compositor Setup Date: I I Time: I E —r,r4 E, Z p =Z O z O <br /> cc5z <br /> Lab Number: STI{ t o 3-17919 0 w a .. t M a o. <br /> 'oo a? H u;O v H II <br /> 150. <br /> Samp Date Time -Sn, 0 c <br /> Location Description a >, o A o as <br /> Num Sampled Sampled X E. a c:� A O V C7 r i:._: i V. is, <br /> 1 LtJGGL r.,iz—? � �� G DW 1 1 1 H2_ 25 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Ti <br /> Le: Relinquished Date: Time: <br /> 056", __2SA I C1 L's 111:7, ILA 1-1 ) <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> IS)03 �s ���� �0011 .� <br /> Comorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&l.aboratory <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)7348435 <br />