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Kit Special CHAiri OF CUSTODY <br /> —ENVIRONMENTALCustomer Copy (RT1y'fgUnc.c0m <br /> Analytical Chemists <br /> {!iillilfllllliflllilifil!fill i!I!ilElll!Ilillllllll!!IIII 35730:11/01/2023 "TEST DESCRIPTION See Reverse side for Container,Preservative and Sampling information L <br /> Client: San.loaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep j <br /> Water Quality Division 3 a <br /> Attn:Scott Sanglaang ;, n <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 Q <br /> Phone: (209)468-3452 Fax: x <br /> c7 w 3 <br /> Contact Person: Scott Sangalang L,t/ Z (>11(� O ¢ E <br /> o W a <br /> Project Name: Z'-2 l U l.A Gvt Irv/ <br /> Purchase Order Number. cs✓t 1 P u ,C Gt 5;; U w 3 v <br /> ¢ x <br /> Quote Number: ST 20160309-01 w <br /> °n W GL v F F <br /> Sampler(s) o vWi z > O A <br /> U = co <br /> yr� _ <br /> ✓ cA L c� * o O Ca Q-0 W <br /> Sampling Fee: Pickup Fee: ;, 'o; N a y <br /> Compositor Setup Date:_/_/_ Time:_/_ n Z O o: fl '—z vz <br /> [a F <br /> o U x <br /> Lab Number. STK „�. 3-17919 o w y <br /> Samp Location Description Date Time T o o N v a. „ <br /> Num Sampled Sampled F p aq M O U-- c7 cv <br /> 1 G DW <br /> marks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> i <br /> Received By: Date: Time: Received By: Date: 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 />