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Mw— CHAIN OF CUSTODY <br /> RAL Special www.fgllnc.com <br /> Analytical Chernists Customer Capy (2 of 3) <br /> 35730:02/0612017 TEST DESCRIPTION - See Reverse side for Container,Pteservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 <br /> Atm:Rodney Estrada <br /> 1868 East Hazelton Ave. 3 u <br /> Stockton,CA 95205 <br /> a. <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada Q ¢ pt <br /> Project Name: v, <br /> Purchase Order Number: r(r,g ( U w 3 a ua <br /> E U ¢ a <br /> Quote Number: ST 20160309-01 � N <br /> E 00 <br /> o F <br /> Sampler(s) E Z T O <br /> x <br /> 0 = a ¢M w <br /> Sampling Fee: Pickup Fee: 5 ° 0 � a.� x F" <br /> Compositor Setup Date: / ! Time: / E z p a Z w Q F <br /> 0 <br /> Lab Number: STK 3-17919 0 a a a U oa x = x x <br /> Samp Location Description Date Time fl s o x <br /> Num Sampled Sampled <br /> I ; G DW <br /> Remarks: Relinquished Date: lime: Relinquished Date: Time: Relinquished Date: Time: <br /> -.)So 10l?itl> <br /> Recet By: Date: Time: Received By: Date: Time: Received B�: D:ue: 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 />