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e CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTSpecial www.fgUnc.com <br /> Analytical Chumists Laboratory Copy (1 of 2) <br /> IIIIIIIIVIIIIillll VIIIIIII III IIIIIII III 35730:11/01/2023 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 <br /> Atm:Scott Sanglaang <br /> 1868 East Hazelton Ave. v <br /> Stockton,CA 95205 3 <br /> v <br /> Phone: (209)468-3452 Fax: <br /> a <br /> Contact Person: Scott Sangalang A9IS 1723 <br /> ((�� a� � � (7 q o C <br /> Project Name:25333 �. lyevtwi'tG�0N4 <br /> Purchase Order Number: — <br /> > °p W <br /> Quote Number: ST 20160309-01 - a ¢ y <br /> Sampler(s) E <br /> Mcvla' LzN'c�j ° o <br /> Sampling Fee: Pickup Fee: e $ O �y a 0 S F <br /> Compositor Setup Dale: !_/_ Time:_/_ E "' Z p x v .2 tO E O z =' E <br /> rn 6 �,N =;Z a.zZIP <br /> v_ m <br /> Lab Number: STK 3-17919 `° rn a r <br /> F II <br /> amp Date Time 3 v a '- — v - E v E a = g <br /> Num led m Location Description Sam Sampled a, T o A .`< o r v <br /> P P £ H a m m 0 U U N i%_: ii iz <br /> 1 WCt1 Wever) Ct U G DW I I,l a S! <br /> Remarks: Relinquished Date: Time: Reli is d Date: Time: Relinquished Date: Time: <br /> to 5;L a5 d5 /� �.� � u �zi7 <br /> Receive Da Time: Rece' ed D Time Received By: Date: Time: <br /> a5 210 b9 D5 d5 Z1v -��� s loft, (Z 17 <br /> Corporate Offices&Laboratory Office&Laboratory Offlee&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)525-0172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />