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- CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 111111111111111111110 I 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County Elf l) <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> c. <br /> Phone: (209)468-3452 Fax: * oG <br /> Contact Person: Scott Sangalang <br /> Project Name y0/Z2Sd A, t6wVk,.54C/w t7 � cc v � <br /> Purchase Order Number:��0y � �� w W <br /> Quote Number: o <br /> E ^ <br /> Sampler(s) Ew Z 0 <br /> Sampling Fee: Pickup Fee: p' o O <br /> 79 Mw <br /> Compositor Setup Date: l I Time: ,�, Z O ¢, co <br /> rn E ova A.. <br /> Lab Number: STK' 1_')U_1 3-17919 w <br /> �(1- vO p <br /> 0 o E� 94 L <br /> Samp Date Time •9 Q, u 't; Q E <br /> Num Location Description Sampled Sampled F: a° as m O upa v <br /> 1 Well Y&4 ld,•,5 Z G DW 3 <br /> FT <br /> Date: Td-7": Relinquished Date: -Time: <br /> GIi s lily <br /> a,C.: i ;Reccived Ry: ake: iMie: Received 13y: Date: Time: <br /> c(-)4\ -�-- <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/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />