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:CHAIN OF,CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Clicinists Laboratory Copy (1 of 2) <br /> 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 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang ¢ y <br /> Project Name: ' <br /> Purchase Order NumberW <br /> P40 u <br /> _11 w <br /> Quote Number: ST 2016 09-01 Cn <br /> Q. x E F <br /> Sampler(s) 0 Z =O '� A <br /> U = a ?: o <br /> � o <br /> Sampling Fee: Pickup Fee: o `� a 0 x F <br /> a .� <br /> a iu o: �W a] <br /> Compositor Setup Date: / / Time: / z cc p ii =z O z <br /> Lab Number: STK 3-17919 0 a c. U as x ty. x x <br /> 2wo H a o %_ <br /> Samp Date Time �5 ;, =C o b x 'd Z <br /> Num Location Description Li led Sam led '` ° e° .0-S e °' n' �' <br /> P P F• a M coo U O N ^i4 u4 q� LL. <br /> 1 t/VL°ll a '2 Z f', G DW I 1,1 f • 5•�ii' r�� <br /> .._..i�.._.«.�._...i.._- Dare: <br /> .. �+ � •�. _�, i✓1—. -._�........�..� � T• <br /> 1 is Dare: _..�r•_: ;:Ze:i; �,:� :it+_.inquished Date: Time: <br /> -_ -�-_1Z �GC.S <br /> k'.:~'3%ec�"'C:t;' s'i:?: r:.'1:: �:�C��1: ..13� ate: r;mc:-*0000 <br /> { <br /> Corporate Offices&Laboratory Office&Laboratory Office$Laborafory Office&Laboratory Office 8!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/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 - Fax:(559)734-8435 <br />