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ENVIRONMENTAL CHAIN OF CUSTODY <br /> MUMM at 3) <br /> Client : Luhdorff & Scalmanini, Consulting Eng. TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: 500 First Street <br /> Woodland CA 95695 c <br /> Phone (916)661-0109 y <br /> Fax "' <br /> 3-12023 a v <br /> cy <br /> Project Name : Quarterly Water Sampling awe <br /> Contact person I Liese Schadt LU <br /> w <br /> Purchase order Humber• 44 -1-b7'2— �+ bn •. <br /> QA/QC report required- Yes No <br /> mr, 0 <br /> M 9L <br /> 41 <br /> Sampler(s): i;A q l ya-5 -r CIL 5Ce) 0 o° <br /> Comp sampler setup Date:_/�/� Time:` <br /> x <br /> Rush Results due By: <br /> (D �9 N <br /> Date Received: <br /> !ab Number: w <br /> r 0 <br /> 0 0 m� E a <br /> Samp Location/Description Date Time o c°s <br /> Num Sampled Sampled m <br /> 1 Browns New �_x 91�a /03a G DW P 1,1 <br /> 2 South Tracy Prod S-Z-yc © G DW P 1,1 <br /> 1.42�_ r <br /> 4 Faulknerz 31 G DW P 1,1 1 <br /> 5 Hall 5—z_ 123,e G DW p 1,1 1 <br /> 6 Browns #1 G DW 1,1 <br /> Misc.. Notes: Reli fished By: D te: Time: linquished By: Date: Time: -Relinquished By: Date: Time: <br /> Final Sample Dispostion: 96 <br /> Lab Disposal: / /_ Returned to client ece d Dae Time: Received by: Date: Time: Received by: Date: Time: <br /> Meth. of Disposal: Date Ret. <br /> Corporate Offices&Laboratory Office and Laboratory Field Office <br /> P.O.Box 272/853 Corporation Street 2500 Stagecoach Road Visalia,California <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 TEL: (209)734-9473 <br /> TEL:(805)659-0910 TEL: (209)942-0181 Mobile: {209 737-2399 <br /> FAX:(805)525-4172 FAX: (209)942-0423 ) <br />