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CHMN OF CUSTODY <br /> Special www./gUnc.com <br /> Laboratory Copy (1 of 2) <br /> IIIII I III II I I I I I� I I II �� 35730:11/0112023 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 ,.j <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelmn Ave. 3 <br /> Stockton,CA 95205 A <br /> 6 <br /> a <br /> Phone: (209)468-3452 Fax: *w � h <br /> Contact Person: Scott Sangaaang 6 (pJ1�,�{ N <br /> 02 <br /> Project Name: ��0 1 S (,�do of rul�t�t <br /> Purchase Order Number: <br /> Quote Number: ST 20160309-01 G ¢ v .9 , <br /> E F <br /> Sampler(s) U y v y O Q <br /> Sasfim lhah�mavo�n�s�l a _ 0 ° <br /> sy ao w <br /> Sampling Fee: Pickup Fee: E °i 'o W ° y aE- <br /> Composimr Setup Date: /_/_ Time: / a c Z O y <br /> H E rn o z <br /> Lab Number: STK 3 3-17919 <br /> c `o A- 911 <br /> u F a� `o— <br /> Sam Date Time E °' "' `v = E `v E v v a <br /> p Location Description ,� v a v <br /> Num Sampled Sampled � F. o, cu 40 u— 0.� i%_: u ii u. <br /> 1 G DW I 1,1 `� 7 <br /> Remarks: linq ed Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> wp z�c� i5 � q- m `1I I� L. 3o Z 6 ,/O S <br /> R eived By: Date: Time: Received Date: Time: Received By: Date: Time: <br /> 1" Y(kp o t�/3a G //DS <br /> Corporate Offices&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 /> c.�I Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> vJ 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 />