Laserfiche WebLink
CHAIN OF CUSTODY <br /> Special www.rgUne.eom <br /> Field Copy (3 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 3 -� <br /> Attn: Michael Kith y �a <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-3444 Fax: <br /> C7 W <br /> Contact Person: M>cpa el Kith <br /> \\ C <br /> «. o <br /> Project Name: <br /> Purchase Order Number: <br /> U W <br /> `r' O <br /> p; W Q a <br /> n. <br /> Quote Number: o x _ m <br /> Ew <br /> Sampler(s) ` j O <br /> 'R x <br /> s o O C-.04 o <br /> Sampling Fee: Pickup Fee: <br /> c <br /> Compositor Setup Date: / / Time: / Q z OEi <br /> x a w <br /> 0 <br /> Lab Number: STK 3-17919 o w iz > <br /> y p y <br /> lamp Location Description Date Time a o ro 7 0 <br /> Num Sampled Sampled F. p m m O (n W <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <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 />