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CHAIN OF CUSTODY <br /> ( Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 111111111 IN 11 IN 1111111111111 Mil I I H 35731:04/03/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EEID <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Scott Sanglaang a_ <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-3452 Fax: * a a <br /> c7 w 3 <br /> Contact Person: Scott Sangaaang <br /> Project Name: k(0%90 VK C7 w o a <br /> Purchase Order Number: U <br /> w Q a <br /> Quote Number: <br /> a. <br /> Sampler(s) c z T O= <br /> f jeV1Vt~ Le�� U <br /> 0 o a 0 <br /> Sampling Fee: Pickup Fee: 5 <br /> c. <br /> Compositor Setup Date: / / Time: / Q, z p a A <br /> vA E c&n �. <br /> Lab Number: STK �� 3-17919 w a T a o p <br /> 0 0 E- aG „>> <br /> Samp Date Time •5 Q• v <br /> Num Location Description Sampled Sampled E, a° a1 m O w v <br /> I 4evtcA G DW 3 <br /> Remarks: Relinquished Date: Time: Re D te: Time- Relinquished Date: Time. <br /> .� ���lu kttt o �"7 � 2f� OD CAS Z(-, l�Y <br /> Receiv y• Date: Time: Received B te: Time: Received By: Date: Time: <br /> b� �7� �t �•1 z I7C 7-6 � :7 <br /> CoMorate 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 />