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Special Cion OF CUSTODY <br /> www.fgUnc.com <br /> Customer Copy (2 of 2) <br /> IIIIIIIII VIII IIIIIII II1II IIIIII VIII IIIII11111IIII1 III IN 35731:01/01/2024 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 w <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (20968-3452 Fax: w 3 00 <br /> Contact Person: Scott Sangalang <br /> Project Name: <br /> Purchase Order Number: oo a <br /> Quote Number: y aVJ <br /> ¢ `� <br /> E <br /> Sampler(s) o w Z > O <br /> Sampling Fee: Pickup Fee: C: °' o pO <br /> Compositor Setup Date: / / Time:—/— E a z p C>~ d) PC <br /> ——— E o A <br /> Lab Number: STK 3-17919 0 CA ii acd -0 <br /> o 0 = t a� C� <br /> Samp Date Time fi a '� ¢ <br /> Num Location Description Sampled Sampled FT a oo ai 0 w v <br /> I G DW 4 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: 'Time: Received By: Date: Time: Received By: Date: Time: <br /> — -- - -��� / <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 />