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CHAIN OF CUSTODY <br /> ENVIRONMEMAO� AGRICULTURAL <br /> Special www.fgUnc.com <br /> Analytical Clic-miSIS Laboratory Copy (1 of 2) <br /> II� li� M 35730:01101/2024 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 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 3 cc, <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang 1! Cn <br /> a <br /> Project Name:37 ��n PFSa.�- C7 a 3 <br /> Purchase Order Number•f,pm <br /> �1' 7.��!3 N W ¢ � <br /> Quote Number: ST 20160309-01 W; <br /> a W a w <br /> Sampler(s)�� U y a 0 <br /> .. <br /> Sampling Fee: Pickup Fee: 5 a oCc <br /> C60 <br /> $O c+;•� a SMO a�,z O <br /> Compositor Setup Date: ! 1 Time: 1 c. z ^z u, <br /> v� orn o,=. z w D H <br /> u� �x �,tn x <br /> Lab Number: STK 3-17919 w T w�� a a_ `r' Q, c,, <br /> Q ° W ivi <br /> Sam Date Time Is `" °' '° <br /> Num Location Description Sampled Sam led °' ° °N 01,, a <br /> P H a, ca m O U-y C7 N U.�. <br /> 1 WeV Yec4 "' , 15�- G DW 1 1,1 —7- 1 Z: <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: 'rime: <br /> 0-4 <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> L <br /> -as-A1 A l 00 C�� .� <br /> .1� <br /> QCorporate Offices 8<Laboratory Office&1 Laboratory Office&1 Laboratory Office&1 Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> f \ Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Vo 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 />