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S ecial Ci�rl OF CUSTODY <br /> . - -- P www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII 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 x <br /> 1868 East Hazelton Ave. tz <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang A <br /> � x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: x <br /> F <br /> Sampler(s) U � O <br /> a <br /> ca a <br /> Sampling Fee: Pickup Fee: c a° '7 O <br /> ao <br /> Compositor Setup Date:_/_/_ Time: / z O x Q <br /> a _ <br /> Lab Number: STK 3-17919 0 a <br /> �* <br /> 0 O <br /> 0 " F a0 0? <br /> Samp Location Description Date Time p o M 'M aQ o <br /> Num Sampled Sampled F, n m m O w It <br /> I G DW 3 <br /> I-Ft I I I I I I I I I I <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 9415 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 />