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CHAIN OF CUSTODY <br /> ENVIRONMENTALSpecialwww.jgUne.wrh <br /> Analytical Chemists <br /> Laboratory Copy (1 of 3) <br /> llllllllllllllllllllllllllllllllllllllllllllllllllllllllllll 35731:08/02/2021 TEST DESCRIPTION - See Reverse side for Container.Preservative and Sampling information <br /> :'lien[: San Joaquin County EHD <br /> M1'ddrv•co Cm. I...nn in C', Pnvirorrn,'d IL• hh <br /> Water Quality Division <br /> Ann: Michael Kith 3 x <br /> 1868 Eau Hazelton Ave. — v <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3444 Fax: <br /> U w v <br /> Contact Person: Michael Kith G <br /> '�,,� � 9 E <br /> Project Name: (0)% "A4 Lv-t i6cW ` C7 y ;; roi <br /> Purchase Order Number: tb 641 v : r z O <br /> Quote Number: G r✓ a <br /> w o d E o <br /> Sampler(s) r 1t�7 j` l o rwi, Zwfw r O <br /> ll a <br /> a <br /> Sampling Fee: Pickup Fee: <br /> X <br /> Compositor Setup Dam:_/_/_ Time:_/_ m a z <br /> �.�K�9z� <br /> Lab Number: STK �! 3-17919 `o <br /> o = F w C7 <br /> ;amp Date Time b', 5 '� v n E <br /> Num Location Description Sampled Sampled <br /> G DW Sub-3 <br /> 2emarks: Refill is d Date: Time: ed D te: Time: Relinquished Date: Time: <br /> Aa(-X), lyl)i3 fishI0IZ27, /7oi� <br /> Recei d y: Date: Time: Receive By: P/ Date: Time: Received By: Date: Time: <br /> 10111,6npa QV /7717) <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&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)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />