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CHAIN OF CUSTODY <br /> ENVI•O - Special <br /> www.fgltnacom <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> III II I II I I I IIII III IIII I III I 35730:11/0112023 TEST DESCF.IPTION - See Reverse side for Container, Preservative and Sampling informadon <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 Hazelnut Ave. 3 <br /> Stockton,CA 95205 A <br /> c <br /> a" <br /> Phone: (209)468-3452 Fax: to m y <br /> Contact Person: Scott Sangalang <br /> Project Name: I Uv bo ?, '(per C d 1 c7 ti h <br /> Purchase Order Number: LI�`ti`+•r 7 ; m a -- <br /> Quote Number: ST 20160309-01 a ¢ `✓ _ <br /> t <br /> Sampler(s)/i S 8 w a q <br /> Sampling Fee: Pickup Fee: a ?' n.0 a alj <br /> 3-17919 o a <br /> Compositor Setup Dare:_/_/_ Time:_/_ e z O c y o z v z = i° <br /> Lab Number: STK 5 O 5 i?. A [- <br /> N T V w s = a a <br /> del F II <br /> Dare Time -S °' 'L '� u E v <br /> N�uPm Location Description Sampled Sampled u r o `� ie'S 'o N o„� v c o v <br /> QP ��jj P E~ a m roO U-. t7N ii=: M w ,,//�� <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: ate: Time: Received By: Date: Time: <br /> a8 202� Gl�� I Z b`b 2OZS l '� aAA-f �03 <br /> Coroorate Offices&Laboratory Office&Laboratory Office&Laboratory vOffice&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empress 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 />