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CHAm OF CUSTODY <br /> Special www.fgUnc.com <br /> Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIII�I�IIII��II�IIII�������1111ilIIIIIII!ME 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 /> Attn:Scott Sanglaang 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: <br /> �a <br /> Contact Person: Scott Sangalang w ¢ x <br /> g o <br /> Project Name: to _ <br /> Purchase Order Number: U W 3 ti <br /> w ¢ '� <br /> Quote Number: ST 20160309-01 N x E. <br /> 6 <br /> Sampler(s) U D to Oa'^ N x <br /> o O CZ ¢O W <br /> S C4 <br /> Sampling Fee: Pickup Fee: a ; a'o�u z y v <br /> Compositor Setup Date:_/_/_ Time:_/_ E z O d $ o z Z Q <br /> o rn x u' <br /> Lab Number: STIP 3-17919 o x x <br /> rNumim <br /> Location Description Date Time T c Sampled Sampled 2 E. a oa as O U G DW <br /> (Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received B}: Date: Time: Received By: Date: Time: <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 />