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To fSpecial C OF CUSTODY <br /> www.jglinc.com <br /> Laboratory Copy (1 of 3) <br /> 35731:08/02/2021 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 a <br /> Attn:Michael Kith 21 e6 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 0 <br /> Phone: (209)468-3444 Fax: x <br /> Contact Person: Michael Kithy e <br /> 1/tihProject Name: �'Z Q '-40/ fnu'� O a R T <br /> Purchase Order Number: 3 <br /> U W in <br /> :3 W ¢ h Cx O <br /> Quote Number: o: <br /> E — A <br /> Samplers v * v O <br /> • C '" <br /> u Ow g <br /> Sampling Fee: Pickup Fee: <br /> e : c W <br /> Q <br /> Compositor Setup Date: ! / Time:—/_ °' z O oG m <br /> Lab Number: STK 3 (� 3-17919 <br /> P Date Time .6 p '� u O Zr <br /> am Location Description Sam led Sampled u v a E <br /> Num P E~ a w O 144 v <br /> I ��t pg" G DW Sub-3 <br /> Remarks: <br /> ,z� TjRe' uished j Dale: Time: Relinquished Date: Time: <br /> Re By: ate: Time: Received By: Date: Time: Received By: Date: Time: <br /> 1-7 06 <br /> Comorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office 8-Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> q, Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> t( U Phone:(805)392-2000Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> - rnr . ^ ^- Cn Vlf)0%QAQM91 P.—Ir'An%1A1_,i Qn7 cw tanc%7G1.1r19 C.,...MCM 7oA oA <br />