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Special CHAIN OF CUSTODY <br /> - AGRICULTURAL P www..fgUnc.com <br /> Analytical Cheinists. Customer Copy (2 of 2) <br /> IIII VIII IIIII II IIIII IIII IIIII IIIII ILII IIIII IIII IIII 35731:04/03/2023 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 3 a <br /> Attn: Scott Sanglaang x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 Fax: x <br /> cj w 3 <br /> Contact Person: colt Sangalang <br /> Project Name: <br /> Purchase Order Number: / > 3 a <br /> Quote Number: a <br /> Sampler(s) o vwi z T O <br /> U r v V a <br /> 0 ❑pc <br /> Sampling Fee: Pickup Fee: c a o� a <br /> a c <br /> Compositor Setup Date:_/ /_ Time:_/_ E —°'c z O n <br /> Lab Number: STK 3-17919 0 a a p <br /> T N <br /> O O O E--� C�O C) <br /> Samp Location Description Date Time v T o U S Qn o <br /> Num Sampled Sampled 2 F. a w m 0 w�r <br /> 1 G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Daic: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: 'I ime: <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 />