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CHAIN OF�CUSTODY <br /> Special www.fgUnc.com <br /> Analytical Chemists Laboratory Copy (1 of 2) <br /> 101111111111 ill I Ell 91113 101 35731:04/03/2023 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 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> cc <br /> Stockton,CA 95205 3 =� <br /> a <br /> Phone: (209)468-3452 Fax: .. .. <br /> Contact Person: Scott Sangalang Q 2 <br /> o <br /> Project Name: Z7jr ej(bdd 6,45e a a <br /> Purchase Order Number:, W a <br /> Quote Number: L^'I q4� <br /> o a ¢ E <br /> E H <br /> Sampler(s) E w Z =O <br /> o O tea' 2 <br /> Sampling Fee: Pickup Fee: a c v O <br /> w <br /> a 0O U <br /> Compositor Setup Date: I I Time: I E co <br /> p_ <br /> Lab Number: SIX <br /> a-IU3o y4$ 3-17919 0 T .. O <br /> V o a: H cx O > <br /> Samp Date Time •9 �,, '� Q <br /> Num Location Description Sampled Sampled �', a a4 04 O w v <br /> 1 CYeeVltiv �ILJ G DW 3 <br /> Remarks: Relinquished Date: Time: Re' uished Date: Time: Relinquished Date: Time: <br /> 1-i� 1 3156 Aw-/ /-lot e, lv I � <br /> Received By: Date: Time: Received By: Date: Time: eceived By: Date: Time: <br /> t <br /> Wq- <br /> CoMorate Offices&Laboratory_ Office&Laboratory Office&Laboratory Office&Laboratory Office R Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93050 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)392-2053 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />