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Special CHAIN OF CUSTODY <br /> AGRICULTURAL www.fgUnc.com <br /> Customer Copy (2 of 2) <br /> Analytical Chemists <br /> �IIIIII��Illilf Il�illl'I��I�IIIIIII�IIIII�IIIIIIIIIIIIIIII 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 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3452 Fax: <br /> v x <br /> C7 w _ <br /> bb <br /> Contact Person: Scott Sangalang Q 6 <br /> c7 w y g rx <br /> Project Name: ��OO �O�vt`� Ln "' <br /> Purchase Order Number: a <br /> Quote Number: <br /> E <br /> Sampler(s) U � z T O <br /> o <br /> Sampling Fee: Pickup Fee: S ° O o p <br /> o ?3 0 <br /> Compositor Setup Date:_/ /_ Time:_/_ E K z O a <br /> V C? <br /> Lab Number: STK 3-17919 0 V) a_ a O <br /> o p E" p' 0 <br /> Samp Date Time .6 Q '� a ¢ E <br /> Num Location Description Sampled Sampled " ' O M m a'o <br /> P P F- a. cu A 0 w't <br /> 1 G DW 3 <br /> Remarks: (Relinquished Date: a Time: inquished Date: Time: 'Relinquished Date: Time: <br /> Rel <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices 8,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 />