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State of California—California Environmental Protection Agency Department of Toxic Substances Control <br /> Northern California Region OFFICIAL SAMPLE RECEIPT Southern California Region <br /> Sacramento Office Chatsworth Office <br /> 1001 I Street 9211 Oakdale Avenue <br /> Ceey <br /> 95812-0806 Chatsworth, CA 91311-6505 <br /> ce Cypress Office <br /> Drive 5796 Corporate Avenue <br /> 95826-3200 Cypress, CA 90630-4732 <br /> San Diego Office <br /> 700 Heinz Avenue 9174 Sky Park Court, Suite 150 <br /> Berkeley, CA 94710-2721 San Diego, CA 92123-4340 <br /> Clovis Office Imperial County CUPA Office <br /> 1515 Tollhouse Road 627 Wake Ave <br /> Clovis, CA 93611-0522 EI Centro, CA 92243 <br /> Firm Name Date <br /> Stockton Propeller, Inc, 06/03/2021 <br /> Address City Zip Code <br /> 2478 Wilcox Road Stockton, CA 95215 <br /> �s®r ��c�e�Y'1� �fIS vim,.-►.Q, e.r; 1/iZL WLe_�a( � s�-e <br /> The items listed below were collected as official samples on this date as authorized by Section 66272.1, California Code of <br /> Regulations, Title 22, <br /> Quantity Unit Size !Jgmple Description ID Number <br /> Sr 09 <br /> 00 0 LIO%A40 Cl �Ckkau r c CON®.- 1(D OD <br /> - <br /> --1 <br /> Receipt acknowledged by: <br /> --�CA,esV\ By. <br /> Pri) and Sign Q Authorized Agent <br /> DTSC 1237(04/12) <br />