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17- <br /> CHAIN OF CUSTODY <br /> SpecialENVIRONMENTAL7..01-W AGRICULTURAL wluwo <br /> tOICXom <br /> Aiialvtical Chemists Laboratory Copy (1 of 3) <br /> Illllllllllilllllllillllllllllllllllilllllllilllllllllllllll 35731:0810212021 TEST DESC,IVPION - See Reverse side for Container,Preservative and Sampling informs n <br /> Client: San Joaquin County E1H6. <br /> Address: San Joaquin Co. Environnntal Health Dep $ <br /> Water Quality Division <br /> Attn:Michael Kith 3 a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3cc <br /> cs. <br /> Phone: (209)468-3444 Fax: w �" <br /> Contact Person: Michael Kith c <br /> Project Name: qc !/h <br /> Purchase Order Number: 0 <br /> Quote Number: J �'►� !/' y v <br /> .� E <br /> Sampler(s) E w z p <br /> Sampling Fee: Pickup Fee: <br /> Q <br /> Compositor Setup Date: 1 / Time: / Ez O a; c. w <br /> va E En .$a <br /> Lab Number: STK Z` 3-17919 o w �. <br /> 3amp date Time �s p, E <br /> Num Location Description Sampled SampledI; �, d p C;Co <br /> I G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> -;;14, A'4� �Vdn k-vG �L 61 -10-D <br /> Received By: Date: Time: Received B ate: Ti Received By: Date: Time: <br /> e. 6V <br /> awz 10,E �E I <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 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 />