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CHAIN OF CUSTODY <br /> AO R1 C U LTU KA L ENVIRONMENTAL <br /> Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> 101111 gill Irm-M M 1111 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 a <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 Fax: C7 w a4 <br /> Contact Person: Scott Sangalang Q <br /> Project Name:�,���� � c7 rrn LV <br /> V r <br /> Purchase Order Number: w W w <br /> Quote Number: ST 20160309-01 a <br /> w r? �, <br /> Sampler(s) �{+ �(� U * a0 Ca <br /> ` OILA+�' � a <br /> ao * o O .911. Q0 x <br /> w <br /> Sampling Fee: Pickup Fee: a c y a c - CL a <br /> a' Z O a a u goo RO �z E <br /> Compositor Setup Date: I I Time: / E a Z <br /> v� E c� o is. A EH <br /> cc <br /> Lab Number: STK �c��j 3-17919 0 C1. <br /> 0 Ix <br /> Samp Date Time -9 'SoE c°'oE <br /> x a <br /> Location Description Num Sampled Sampled 2 ca O L) <br /> t'7 N <br /> 1 G Dw <br /> Remarks: � Relinquished `off : Time: shed ate: Time: Relinquished Date: Time:� <br /> �Q <br /> R By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> L S-7 � .o /355 <br /> Corporate Offices&Laboratory Office&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 /> 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 />