Laserfiche WebLink
ENVIRONMENTAL` KiRICUUMRAL <br />AnZilylicill UwIllists <br />CHAM OF CUSTODY <br />�-ecial p u)ww.fgUncxom <br />Laboratory Copy (1 <br />w <br />II�IIIIIIIIII�IIIII�IIII�II�I�I�l�llllll <br />Office & Laboratory <br />35731:08/02/2021 <br />Office ,% Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />TcSTI4)ESCRIPTION <br />3442 Empresa Drive, Suite D <br />See Reven;e <br />side <br />tier Container, <br />Preservative <br />and <br />Sampfpg <br />iroturmation <br />'tient: San Joaquin County EHD <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />kddress: San Joaquin C; Environmental Health Dep <br />Water Quality Division <br />=t <br />j <br />Attn: Michael Kith <br />rx <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />3 <br />=" <br />a, <br />phone: (209)468-3444 Fax: <br />-ontact Person: Michael Kith <br />J2 <br />A <br />¢ <br />= <br />a <br />aro ect Name: 'L4 f0$t,t hr�v+otrl <br />W <br />?urchase Order Number: <br />L�11" Q "�' <br />tw <br />Q <br />`n <br />v <br />a <br />quote Number: �Y <br />o <br />Z <br />E <br />T <br />O <br />n <br />Sampler(s) <br />N <br />rA <br />a <br />Sampling Fee: Pickup Fee: <br />;o <br />5°' <br />o <br />C <br />O <br />;, <br />•C <br />o <br />o <br />Q <br />Compositor Setup Date: Time: <br />Q <br />a <br />z <br />O <br />n <br />w <br />_/_/_ _/ <br />Lab Number: STK 4 3-17919 <br />to <br />EU <br />6 <br />n <br />A o <br />M j <br />-5 <br />a <br />w <br />O <br />OC7 <br />a E <br />amp <br />Num <br />Location Description <br />Date <br />Sampled <br />Time <br />Sampled <br />FT <br />a.. <br />to <br />Ln I- <br />I <br />I <br />G <br />DW <br />Sub -3 <br />temarks: <br />Relinquished Date: Time: <br />Reli <br />d Date: Time: <br />Relinquished Date: Time: <br />[22 <br />Received B Date: Time: <br />Re eived y: D e: T" e: <br />KY <br />Received By: Date: Time: <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office ,% Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />