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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL ML AGRICULTURAL www.fgUnc.com <br /> Analytical Chernists Customer Copy (2 of 2) <br /> II�IIIIIIIIIIIIIIIIIIIIIIIIIIIII�I�IIIIIIIIIIIIIIIIIIIII� 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 <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. � <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: Scott Sangalang Q ¢ a <br /> Project Name: <br /> ekiP G+- q//l e W o a <br /> �� l pvlQ G <br /> Purchase Order Number. <br /> rvpo3. ? > <br /> _ <br /> Quote Number: <br /> a W w a�Ei E" <br /> Sampler(s) U O <br /> x <br /> va <br /> op Sa <br /> Sampling Fee: Pickup Fee: c :' iu o� 00, <br /> Cl v 0 <br /> Compositor Setup Date: /_/_ Time: /_ E K Z <br /> Lab Number: STI{ 3-17919 0 a c a p <br /> Samp Date Time o ' Q E <br /> 0 0 - <br /> Num Location Description Sampled Sampled H a° m° w O w a <br /> 1 G DW 3 <br /> — — — <br /> R+ emarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> iReceived By: Date: — Time: Received By: Date: Time: Received By: Date: 'rime. <br /> f <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 />