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CHAIN OF CUSTODY <br /> RAL Special www. Inc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 35730:02!6,6/2017 TEST DESCRIPTION See Reverse side for Container.Ili eservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water QuaGry Division 3 <br /> Attn:Rodney Estrada x <br /> 1868 East Hazelton Ave. 3 <br /> Stockton,CA 95205 <br /> a <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada <br /> Project Name: 1�Z- N• �+������p��i ``�` O v <br /> 3 a <br /> Purchase Order Number: > on ua <br /> Quote Number: ST 20160309-01 V) N <br /> E o H <br /> 2 F" 00 <br /> Sampler(s) { to z T O A <br /> Ll � y Con <br /> o O <br /> o O .5 N Q O <br /> y `° W <br /> � � aN xH <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: / / Time:_/ E z O Z3 ~z -O v z <br /> c� az A <br /> Lab Number: STK 3-17919 �_ ii a <br /> amp Date Time y `= c x d <br /> Num Location Description Sam led Sam led " ' d ° o^ y n. <br /> P P — ca m O c� - c7 <br /> I v� G Dib' I LLI <br /> Remarks: Relinquished Date: Time: Relinquished D:ite: Time: Relinquished Dare: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received Bc: 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 />