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_y� Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL —m . , P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IflIIIInIIIIIIIIII'I�IIIIIIIII�IIIII'IIIII'IIIIIIIIIIIII�II 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 <br /> Attn:Scott Sanglaang a <br /> 1868 East Hazelton Ave. b °; <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-3452 Fax: C7 w 3 vi <br /> 00 <br /> Contact Person: Scott Sangalang Q ¢ a <br /> 0 <br /> Project Name: v a 3 v <br /> a <br /> Purchase Order Number: y > <br /> w <br /> Quote Number: o n _ <br /> E W w V � <br /> Sampler(s) o z > O <br /> K � T <br /> O <br /> Sampling Fee: Pickup Fee: c ;, o; a. <br /> o t a U <br /> Compositor Setup Date:_/_/_ Time:_/_ Ed o z O o <br /> v� E ° Ca <br /> 0 <br /> Lab Number: STK 3-17919 0 V) iE a b 40 <br /> Samp Location Description Date Time E a o .@ U X a E <br /> Num Sampled Sampled � F. a m w 0 w v <br /> I G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: "rime: <br /> I <br /> i <br /> I � <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 />