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CHAIN OF CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> III VIII III IIII IIII IIII VIII IIII III 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 /> Atm:Scott Sanglaang <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 A <br /> a <br /> a <br /> Phone: (209)468-3452 Fax: <br /> Contact Person: ScottSaugalang W(P00Lj468; <br /> Project Name:%15770 £.(Ai Ve.- a,p j%(PC"q ti rig <br /> w <br /> Purchase Order Number. > ¢ a <br /> Quote Number: v, <br /> atoE <br /> Sampler(s) O U y N O <br /> IQIertC4 L eR tj o Ee <br /> N o <br /> Sampling Fee: Pickup Fee: c <br /> `o o W a <br /> Compositor Setup Date:_/ /_ Time:_/ n Z p x v to <br /> N y A <br /> Lab Number: STK 3-17919 0 w g <br /> a0o <br /> Sam Dale Times <br /> Num Location Description Sampled Sampled :2� a° Gogo M 0 w v <br /> 1 wttl VI U tC)W G DW 3 <br /> Remarks: Relinquished Dare: Time: Rei uis Da Time: Relinquished Dam: Time: <br /> Receiv By: Date: Time: Recet By;j Date: Time: ived By: Date: Time: <br /> 05 l '� S1blZ-6 I a/ 7 <br /> Coroorate Offices&Laboratory Office&Laboratory Office 8 Laboratory Offlce&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)7349473 <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 />