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-_— CHmri OF CUSTODY <br /> Special www.,gUnc.com <br /> ENVIRONMENTAL AGRICULTUML <br /> Analytical ChemistsCustomer Copy (2 of 3) <br /> 3;731:08.11_' 2021 I'ESI DL•SCRIIII ION - See Re\erse side for C(intauur. Preser,a,ne and Sampi : - ink,nnauou <br />' Client: (San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Michael Kith �, a <br /> 1868 East Hazelton Ave. w <br /> Stockton,CA 95205 <br /> Phone: (209)468-3444 Fax: wCn00 V <br /> Contact Person: Michael Kith A <br /> � 7 <br /> Project Name: �1 U <br /> Purchase Order Number: 3 �' <br /> y a <br /> Quote Number: o x U <br /> a w a <br /> Sampler(s) o � z= > O A <br /> 6L <br /> Sampling Fee: Pickup Fee: S " ; c <br /> a c d <br /> Compositor Setup Date: / / Time: / —, z O p w <br /> Lab Number: STK 3-17919 0 a n, ro <br /> 0 0 <br /> Samp Date Time xa R 19 '� p S <br /> Num Location Description Sampled Sampled E'. 0o m ea O ri't <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Tillie: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: I ie <br /> -. <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Undo 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 />