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CHMN OF CUSTODY <br /> ENVIRONMENTATri-Annual www./glinc.com <br /> Laboratory Copy (10 3) <br /> I IIII MI IN 11111 ITH 111111111 IRI M 111 34933:06/06/2022 TEST DESCRIPTION - See Reverse side for Container, Preservadve and Sampling information <br /> Client: Anna Cwerder I <br /> Address: 18481 Paradise Ave ' <br /> Tracy,CA 95304 - <br /> 1 <br /> Phone: (209)629-2851 Fax: 3 a <br /> Contact Person: Anna Gwerder c y a <br /> C7 W 5 ti _ <br /> Project Name: 18481 Paradise Ave e a e <br /> Purchase Order Number: O W 2 'o <br /> a <br /> Quote Number: U m 63 a <br /> vl W ¢ H <br /> Sampler(s) o E <br /> E a 0 <br /> 0 o as TO z z w <br /> Sampling Fee: Pickup Fee: O O °O <br /> Frn 0 .9 <br /> Compositor Setup Date:_/_/_ Time:_/_ rn Z 0 i 8 z y <br /> n <br /> Lab Number: STK R <br /> 3-17263 o r%+ n. S. S a 8 r <br /> Tamp DateTimeLocation Description o <br /> o <br /> Num Sampled Sampled eco U w U E <br /> Ur-' 3m 3'S y <br /> 1 18481 Paradise Ave G DW 1 1 1 X <br /> Remarks: Relinquished Date: Time: Relinqu a Date: Time: Relinquished Date: Time: <br /> fl z W\v [e �[10D e,6f wo 2z /0:4 <br /> eive � ce: Time: Receivtd B�� �'D te: Time: Received Date: 7jme: <br /> ZZ I+fb [( Z 1 � <br /> Corporate Offices 8 Laboratory Office 8 Laboratory Office&Laboratory Office 8 Laboratory Office 6 Laboratory&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 Chlco,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)7349473 <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)7348435 <br />