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`� Special CHMN OF CUSTODY <br /> P www.fgUnc.com <br /> AGRICULTURAL <br /> OiVIRONMENTAL <br /> Analytical Chernists Customer Copy (2 of 2) <br /> IaiIIIIIIIIilillllllllllll!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 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 3 a <br /> Atm: Scott Sanglaang �, x <br /> 1868 East Hazelton Ave. b <br /> Stockton,CA 95205 3 G <br /> Phone: (209)468-3452 Fax: x <br /> c? N <br /> Contact Person: Scott Sangalang Q <br /> a <br /> Project Name• C7 vwi <br /> Purchase Order Number: NL� �� [( v > m a pj <br /> Q <br /> Quote Number: ST 20160309-01 o a � <br /> a W a E F. E <br /> Samplers) � j U V a ^ a 0 <br /> Sampling Fee: Pickup Fee: c �' o a Ln 0�" <br /> n y o a a'v v a ym DZ <br /> Compositor Setup Date: /_/_ Time:_/ E Z O o z c Z w o F <br /> o x <br /> x x <br /> Lab Number: STK 3-17919 0 0. 0.) E a a v a <br /> 0 o v H p;O o•� <br /> Samp Location Description Date Time T o b N v <br /> Num Sampled Sampled E. ,, cq O U C7 r, is _: w i <br /> 1 G DW <br /> I <br /> _ I <br /> no, t•c• ERe::nqu'ss`td I:a.:.: imc: '-;,e:it�q�:i5i:ed ��ae: Tirne: Relinquished Date: Time: <br /> rtarks: <br /> Bv: Date: Tin-;e: tReceived 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 9411 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:(8b5)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />