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Special CHAIN OF CUSTODY <br /> ENVIRONMENTAL AGRICULTURAL www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 2) <br /> III�IIIIIIIIIIIIIII�I��IIII�I'llll�l�lllll�'IIIII'IIIIIIIII 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 /> 3 a <br /> Attn: Scott Sanglaang x <br /> 1868 East Hazelton Ave. " <br /> Stockton,CA 95205 3 a <br /> v <br /> Phone: (209)468-3452 Fax: w 3 <br /> Contact Person: Scott Sangaaang A ¢ P <br /> C7 w o <br /> Project Name: C/) b <br /> tx <br /> Purchase Order Number: <br /> y W ¢ a <br /> Quote Number: <br /> :: � <br /> Sampler(s) to y p <br /> Z <br /> :? c <br /> T <br /> o p 5 <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date:_1_/_ Time:_/_ @ c Z O <br /> o n <br /> Lab Number: STK 3-17919 0 0 a_ _a v O <br /> a, <br /> o y F �� >_ <br /> rim <br /> Date Time � a 4 ¢ E <br /> Location Description Sampled Sampled ET o° m ai O w <br /> G DW 3 <br /> (Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> IReceived By: Date: Time: Received By: Date: Time: Received Bv: 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 />