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CHMN OF CUSTODY. <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 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 De <br /> Water Quality Division 3 a <br /> Attn:Scott Sanglaang a: <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 e° <br /> a. <br /> u <br /> Phone: (209)468-3452 Fax: <br /> v w 3 <br /> Contact Person: Scott Sangalang N ¢ E <br /> Project Name: 6�3 ZQ) wlolleetA W/7 e, c7 a <br /> Purchase Order Number. S1 UC�i✓/ U 00 <br /> I V t1' ! � a <br /> Quote Number: C� f / ¢ y <br /> a. E <br /> � W C1, a� E" <br /> Samplers) U * y N O <br /> eA ° O h O <br /> Sampling Fee: Pickup ee: 5 i o'�Mr�o a, <br /> Compositor Setup Date: / / Time: / Q, Z O a <br /> v� E ii A r. <br /> Lab Number: STK 3-17919 0 w p <br /> o C4� > <br /> Samp Location Description Date Time a o U.S a <br /> Num Sampled Sampled H a po eo O w v <br /> 1 �1 �� ��' `I•� G DW 3 <br /> Relinquished Date: Time: Relinq ' hed atc: Time: Relinquished Date: 'rime: <br /> G fN # &S INV <br /> W(81� 2& G� <br /> OID `l Receive By: Date: 'Time: Received By: D e: 'Time: Received By: Date: Time: <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 />