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Special CHAHI OF CUSTODY.. <br /> P www.fgUnc.com .1 <br /> Laboratory Copy (I of 3) <br /> �I�Ilililil�IliIIIIIII�I�hIIiIIIlliiinllllllll�il�lllli X731:08/02,2021 1 t.SI Ul 1l RIP 11(01 Nc� RL\Lur,rlc 101 (,.t ni,1uiu. PIIN n.iti\r AIILI S.iny)1in_ iul,M11.11j"u <br /> liens Sao Joaquin Count} EHD <br /> ddress: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division <br /> Ann: Michael Kith a s <br /> cti <br /> 1868 East Hazelton Ave. n <br /> Stockton,CA 95205 3 O <br /> a <br /> _ v <br /> lone: (209)468-3444 Fax: <br /> w � _ <br /> ontact Person: Michael Kith Q <br /> •oject Name: L�'` �a� c7 �a !x <br /> trchase Order Number: <br /> tX <br /> uote Number: `� � V J ww a " U <br /> E <br /> ampler(s) o "' z >. O Q <br /> • = a <br /> t�nfn�l,o C9 G�t,�c, �t1 U A <br /> ampling Fee: Pickup Fee: a v o <br /> 6 C C <br /> ompositor Setup Date: / / Time: / a Z O ua1 <br /> ab Number: STK 3-17919 o <br /> 9 0 = H C4 o c? <br /> mp Date Time 5 Q '� E <br /> lum Location Description Sampled Sampled o > a° m r O <br /> I �r `\ Ot G DW Sub-3 <br /> !marks: Relinquished Date: Time: pateL Time: Relinquished Date: Time: <br /> Received B Date: Time: Re 'ved B ate: Tim Received By: Date: Time: <br /> �qLz'f 17-7V lq� <br /> Corporate Offices Laboratory Office&Laboratory Office&Laboratory Office 8t 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)5254172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />