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E CHAIN OF CUSTODY <br /> RAL Special www.fgUnc.com <br /> Analytical Chernistss; Customer Copy (2 of 3) <br /> 35730:02/06/2017 TE'..T DESCRIPTION - See Reverse side for Container, Preservative and Sam lin information <br /> Client: San Joaquin CVhnty EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division j <br /> Attn:Rodney Estrada 3 <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> a <br /> * cG <br /> Phone: (209)468-0331 Fax: t*,a 3 P4 <br /> Contact Person: Rodney Estrada Q <br /> Project Name: (fx <br /> Purchase Order Number: rL t <br /> w ¢ a a <br /> Quote Number: ST 20160309-01 _ N <br /> a W P a! F oo F <br /> Sampler(s) E �4 z Q <br /> a, y14 <br /> ¢O W <br /> Sampling Fee: Pickup Fee: E- <br /> c <br /> Compositor Setup Date: / / Time: / E a z p y °' b E O 9 z E <br /> M C a O Z C z <br /> o <br /> Lab Number: STK 3-17919 o a. n U cc x Ca <br /> Samp Date Time r N C. v E °' E 9 b D <br /> Num Location Description Sampled led Sam o <br /> P P F a w H U`v U N _: is, u <br /> I G MN 1 1,1,1 <br /> Remarks: Relinquished Date. lime: Relinquished Date: Time: Relinquished Date: Time: <br /> RCceivcd 13\: 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 />