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Special Cion OF CUSTODY <br /> P www.fgUnc.com <br /> Analytical Clicinists Customer Copy (2 of 2) <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II�IIIIIIIIIIIIIIII'I 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 /> Atm: Scott Sanglaang z <br /> 1868 East Hazelton Ave. <br /> Stockton.CA 95205 3 <br /> a <br /> v <br /> Phone: (209)468-3452 Fax: w 3 <br /> � L <br /> Contact Person: Scott Sangalang S Q ¢ S pF <br /> Project Name: <br /> x 3lu <br /> Purchase Order Number: {f fr iic � , <br /> Quote Number: !yCJ y N ¢ C-n <br /> a W R E [- <br /> Sampler(s) E Z T <br /> * v LI) <br /> a_ <br /> 4PI(� <br /> Sampling Fee: Pickup Fee: °c° a .o O <br /> a <br /> a. v o s a E U <br /> Compositor Setup Date: / /_ Time: / E n Z O a °� <br /> Lab Number: STK 3-17919 o w a T p <br /> F .a0 �> <br /> Samp Date Time = o s Q E <br /> Num Location Description Sampled Sampled H a m m O w <br /> 1 G DW 3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> t <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 />