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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 11111111011i)1111111111111119111111 A RI 1111 35731:04/03/2023 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 3 i <br /> Attn:Scott Sanglaang .� <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> u <br /> Phone: (209)468-3452 Fax: ^ * N a <br /> Contact Person: Scott SangalangCd <br /> Project Name:!Q.21'4S 31(d r t7 y ) Co <br /> Purchase Order Number: V ea a <br /> Quote Number: o a Q <br /> Sampler(s) c & z T 00 <br /> Awwo, zwl oa5 = a <br /> Sampling Fee:_ Pickup Fee: _ c & =v O <br /> I 0 0 Cd R <br /> Compositor Setup Date: 1_ I Time: I E �,, z O <br /> Lab Number: STK 3-17919 0 a �• Q <br /> �O <br /> 4. <br /> Samp Date Time <br /> Num <br /> Location Description Sampled Sampled E~ a ca m O w <br /> 3 . . <br /> ._.`-----ice Si::o;;i•:+.�._�� � Date.: D• e: Time: Relinquished Date: Time: <br /> (dura Coal1nra5 6111)24 lo;5yi (� 11T4 6-6� rz y /360 <br /> i3}" ?fat•: :i:ne: fRe:.:w�•�;< 1) u: Time: Received By: Date: Ti e: <br /> U1-- -4 ID54Lf �c <br /> Corporate boratory 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 />