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FOL <br /> CHAIN OF- CUSTODY <br /> ENVIRONMENTAL ACiRICULTURAL Special wumfgUne.eom <br /> Laboratory Copy (1 of 2) <br /> 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. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-3452 Fax: w <br /> Contact Person: Scott Sangalang ���� ��,,,,�� <br /> Project Name:IMN./vtr&Ve b//7oAt41(Aw <br /> a <br /> Purchase Order Number• W a <br /> Quote Number: 00 X3537 <br /> .. E <br /> Sampler(s) E 09�< Z <br /> o O •� <br /> a <br /> Sampling Fee: Pickup Fee: = r'' c v a <br /> Compositor Setup Date: I I Time: I °= Z p a4 <br /> cc <br /> a e A_ <br /> Lab Number: STK171-L;YJ 3-17919 0 A a <br /> .b c ? E� a O O <br /> Sapp Date Time ;, Q <br /> Num Location Description Sampled Sampled F, a, M O w v <br /> G DW 3 <br /> �Remarla: Relinquished Date: Tinnc: Relinquished i ate: Time: Relinquished Date: Time: <br /> tz <br /> Received B Det : T into: Received By: Da Time: Received By: D te: Time: <br /> Corporate Offices&Laboratory oratory 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 />