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Special CHMN OF CUSTODY <br /> 6NVIRONMENTAL AGRICULTURAL-`- P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII 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 aW <br /> Attn:Scott Sanglaam, a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 =' <br /> ani <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang L <br /> Project Name: '7 <br /> ! • ✓ i/ x 3 <br /> Purchase Order Number: > <br /> Quote Number: <br /> Sampler(s) o z <br /> U � a <br /> Sampling Fee: Pickup Fee: <br /> L u: d U <br /> Compositor Setup Date: / / Time: E c z p ami m <br /> C.E o <br /> Ln <br /> Lab Number: STK 3-17919 c a T va O <br /> 0 o g F w O o> <br /> Samp Date Time ; ¢ E <br /> Num Location Description Sampled Sampled w <br /> i G DW 3 <br /> !Remarks Relinquish�ejd Date: Time: Relinquished Date: Time: Relinquished Date: Time. <br /> y <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 />