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CHAIN OF CUSTODY <br /> RAL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02/06/2017 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 <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada un, <br /> Project Name: <br /> Purchase Order Number: <br /> j <br /> Quote Number: ST 20160309-01 c00 <br /> w a F E• <br /> t. Sampler(s) (� c N z T A <br /> runt�Sl c VUt( �U fiZ U * p x <br /> Sampling Fee: Pickup Fee: <br /> G y O arJ a' U N cV cC M b .d+ p <br /> Compositor Setup Date:_/_/_ Time:_/_ 8 p z O o —z ;z A H <br /> Lab Number: STK 3-17919 0 a a Cd& U� x x x <br /> PGS �a H II a a <br /> amp Location Description Date Time p o '0� o c 0 a <br /> Num Sampled Sampled F, a a1 as O U <br /> G DW <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)7349473 <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 />