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CHAIN OF -CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 111111111111111 MUM 11111011 milli 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 3 a <br /> Attn:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang <br /> Project Name: %CI 1511.- CX4(A- Vj a YL►CA cc G; <br /> Purchase Order Number: s 95U S, > <br /> Quote Number: o ow4 <br /> M <br /> Sampler(s) c w Z 0 <br /> op a <br /> Sampling Fee: i Pickup Fee: _ c °" L y a <br /> y ° <br /> Compositor Setup Date: 1 I Time: / z p x c <br /> c Q <br /> Lab Number: STK ` 3-17919 0 a N p <br /> Samp Date Time e a Q <br /> Num Location Description Sampled Sampled 0 >% ° � `0'5 a <br /> P l�•P � E-� a A oU O w� <br /> 1 wC<< ��q W Z- G DW 3 -- <br /> 4-4 <br /> 's'........:...,. .'.i:.:.j::I�i:ri //_:�ii.: _ _;'_ i:�2tl ilii mit::: :ii,::: i'ri:.L': 'i:,•'iiCt Date: TitI1C: <br /> ;Gz y�LUt _ GLw Zy ! <br /> �i..:t!'Ci< i�' 3E�" ?1!'tY.'. ;+: _.'.iY 'y': lJ�t_' :i:':'.:: E`;f4'.a�•oi By. Date: Tim(,: i <br /> i t <br /> . .................. <br /> Cornorate Offices&Laboratory Office&Laboratory Office&Laboratory is <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 3442 Empresa Drive,Suite D 9411 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)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />