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CHAIN OF CUSTODY <br /> 776- _:_ , , Special www.fgUnc.COM <br /> Customer Copy (2 of 2) <br /> Analytical Chernists <br /> 1101111111111111111111111111111 IIIIIINUIIIII��l1 35730.11/01/2023 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 /> a <br /> Attn: Scott Sanglaang <br /> 1868 East Hazelton Ave. °J <br /> Stockton,CA 95205 3 n <br /> a <br /> Phone: (209)468-3452 Fax: tj <br /> a <br /> Contact Person: Scott Sangalang � a <br /> Project Name: <br /> Purchase Order Number: U j 3 r a w <br /> w t " <br /> Quote Number: ST 20160309-01 o C4 E F <br /> Sampler(s) U a a p <br /> * o O Ei QO ° W <br /> .5 <br /> Sampling Fee: Pickup Fee: Q o a U z y <br /> Time: / E F z O " =z y 0 y'" E <br /> Compositor Setup Date:—/—/_ —— M o o ❑ ij O E— <br /> U <br /> Lab Number: STK 3-17919 o H O E a a F II <br /> o _ w y E o <br /> Samp Date Time � a 5 -S <br /> Location Description Sampled Sampled � H w m w O U <br /> Num <br /> 1 G DW <br /> Remarks: <br /> 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 9411 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 />