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EM <br /> Special Cxmri OF CUSTODY <br /> ENVIRONMENTAL � AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II 35730:01/01/2024 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 3 a <br /> Attn:Scott Sanglaang x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> d <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q <br /> x <br /> Project Name: //� O w r°n <br /> Purchase Order�umb l- /`'rperfi�l /I(Cl X14./ ; a W <br /> Quote Number: ST 2016030�f=Q1����! -1 b N a <br /> E H <br /> Sampler(s) E w z ti A <br /> U * O a .� <br /> '34 O <br /> QO W <br /> Sampling Fee: Pickup Fee: g ? acv x F <br /> Compositor Setup Date: / / Time: / E n z O ° O y.. <br /> -- o oz �z <br /> Lab Number: STK 3-17919 0 >1 v a a W-• c c <br /> c o a? F 94 0- ? F II <br /> Samp Date Time n °' ;o o x ° ° <br /> Num Location Description Sampled Sampled " ' ° " °-S o N °' v °' �' 10 <br /> P P F- a to ra O U 0 <br /> 1 �. G DW 1 1,1 G' <br /> I I <br /> I <br /> jRemarks: Relinquished Date: Time: .Relinquished Date: Time: rRelinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: <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 /> a <br />