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_ CHAIN OF CUSTODY- <br /> Special www.fgUnc.com <br /> Analytical Clicinists Laboratory Copy (1 of 2) <br /> 11111 �0IIIII 111 I III 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 a <br /> Attn:Scott Sanglaang P. <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3452 Fax: lye W .S N a <br /> Contact Person: Scott Sangalang u�4�O� UZ A ¢ 5 <br /> Project Name:CMUG WrYAi✓`Q,K 04 C7 rt i m t <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 <br /> a [r] a v t F <br /> Sampler(s) Q /ZaS o y Z T O A <br /> O <br /> * x <br /> ¢- <br /> O <br /> Sampling Fee: Pickup Fee: H <br /> Compositor Setup Date: _/_!_ Time:_/_ E — z O a a <br /> c ,, =z v O <br /> A e o e Z <br /> „�_, E u vii N U is x H.h.. <br /> Lab Number: STK ,)U3 U( L4q 3-17919 o w a - F a a „ a a <br /> 0 o a E xO <br /> Samp Date Time o lo-o o d <br /> Location Description o �s OU <br /> Num Sampled Sampled 2 is�' <br /> 1 S���Z�{ Z.(]� G DW <br /> i; ,,,._ :•.,,u :eci i�_..: ;I'•_ireuis::c? a;;;: C me: �Re.:rquished Date: Time: <br /> ' �1 <br /> reAS, 511)71151 <br /> 3t'; ii'': +;?tc: T;11-: Received By: Dale: Tint_: <br /> Cornorate 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)5254172 1 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />