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CHAIN OF CUSTODY <br /> Laboratory Copy (1 of 2) <br /> `. 1i!E!1 I1:,;ll(ElMillidl �� �{��! ��11 E' 35730:11/01/2023 f iiS'; uESCRIPCION - 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 <br /> 1868 East Hazelton Ave. ti a <br /> Stockton,CA 95205 3 <br /> a <br /> Phone: (209)468-3452 Fax: a <br /> Contact Person: Scott Sangalang <br /> Project Name: cc <br /> cc <br /> Purchase Order Number: �,-�Q�, U_ w 3 — <br /> Quote Number: ST 20160309-01 <br /> a. E• <br /> Sampler(s) U *vwi N a q <br /> � c O caM c x <br /> Q O <br /> v� <br /> Sampling Fee: Pickup Fee: C °� =E a cv <br /> a u e M �� a� <br /> Compositor Setup Date: / / Time: / E Z p °'c v O v? <br /> o c zE- <br /> Lab Number: STK ( � � 3-17919 o w a v-- "U a tn <br /> a c. a. <br /> c 0 E H II <br /> Sam Date Time S v 4o: <br /> p Location Description ; c ; c o v o <br /> Num Sam 1 Sampled t.., a Gq cia O U t7 c"'•i <br /> G DW <br /> If?::�r• ,: _ ___� !Relinquished ��l�it Time ERelii uished ate: Time: Relinquished Date: Time: <br /> :'i::,: ".. a ii; �,;.�:�: =im_: i „` ivied By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&LaboratoryOffice&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)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />