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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiII 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 <br /> Attn:Scott Sanglaang �, a <br /> 1868 East Hazelton Ave. 61 <br /> Stockton,CA 95205 3 0 <br /> rx <br /> Phone- (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang ��� �]� Q ¢ 2 M. <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: o Wa _ <br /> E w a �' � <br /> Sampler(s) o Z T O <br /> o p .s a c <br /> Sampling Fee: Pickup Fee: <br /> z U <br /> Compositor Setup Date:_/ /_ Time:_/_ E K Z O a <br /> E o C? <br /> Lab Number: STK 3-17919 0 &% a. a � 80 <br /> rNum <br /> Location DescriptionDate Time n oao Sampled Sampled >; F- a m w 0 W G DW 3 <br /> 14—i <br /> !Remarks: IR ,irq tis:�i Date: Time: lRelinquished Date: Time: Relinquished Date: Time: <br /> r— <br /> !Rect;ived BY: Date: T iRe etv_d 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 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:(805)525-4172 1 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />