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CHAiri of CUSTODY <br /> Special www.fgUne.eom <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> 35731:04103/2023 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 1.4 <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 Fax: C7 Wcan, a; <br /> Contact Person: Scott Sanalae Q _ <br /> Project Name: CM cc <br /> Purchase Order Number: <br /> Quote Number: <br /> Sampler(s) U O <br /> � `Vm r\4MrJVq <br /> * o O w 0 <br /> Sampling Fee: Pickup Fee: c p, <br /> a <br /> Compositor Setup Date: l I Time: I E a, z p ao <br /> Lab Number: STI{ 0 3-17919 o w a p <br /> c G p� <br /> Samp Date Time c. `' Q <br /> Location Description <br /> Num Sampled Sampled <br /> G DW 3 <br /> Remarks: Relinquished Time: quished 7te: Time: Relinquished Date: Time: <br /> ATit \.\A S->2)'A \Nc,_5_ 0 --zf G <br /> Receive Date: 'Time: Received By: ate: Time: Received By: Date: Time: <br /> -��H S <br /> AD L, G/ <br /> CorRorate Offices&Laboratory Office 8 Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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 /> t Env Fax:(805)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)7348435 <br />