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Special <br /> CHAIN OF CUSTODY <br /> .e wumfgUM.Com <br /> Laboratory Copy (1 of 3) <br /> !ll11p�� M11 111111111 35731:08/0212021 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 <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith cc <br /> ¢ °' <br /> Project Name: <br /> Purchase Order Number: n Is U to <br /> a O <br /> Quote Number: W 7 T 7 W a ¢ , U <br /> �. E0. <br /> Sampler(s) E w Z A <br /> Sampling Fee: Pickup Fee: <br /> a <br /> o <br /> Compositor Setup Date: I l Time: I S a, z p a w <br /> rn E c w <br /> Lab Number: STK p�^ / 3-17919 0 � ' ? <br /> a o a: H cxO U <br /> Samp Date TimeQ <br /> Num Location Description Sampled Sampleda 0. O 0 <br /> I —l� j 0.1400 G DW - <br /> Remarks: Relinquished Date: Time: 11flimWished D te: Time: Relinquished Date: Time: <br /> N05-aw Ho .-4zoo' 1WL4 <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> CorRomte Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office S Laboratory <br /> (� 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 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)525-41721 Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />