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ENVIRONMENTAL <br /> CHAIN OF CUSTODY <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 0 <br /> Phone (916)661-0109 y <br /> Fax LU <br /> 3-12023 <br /> Project Name : Quarterly Water Sampling <br /> � ng � a <br /> Contact person : Liese SchadtCa <br /> Purchase order Number: qy— —O 2 Z N <br /> 1 C51 <br /> QA/QC report required: es No v <br /> co <br /> a <br /> Sampler(s); GPeR ! LSCC .N o a <br /> a N � <br /> Comp sampler setup Date: a <br /> _/ / Timer <br /> Rush Results due By: /_� x a a <br /> Date Received: a <br /> Q y N u <br /> E d CM �iI o <br /> �/ vt°I A <br /> Lab Number: G17133 7� cc � <br /> 0 o a° �C <br /> Samp Location/Description Date Time ' ^ 2 0 o c0 m <br /> Nin Sampled Sampled F- W <br /> 1 Browns New i/D- cf� G DW <br /> 2 South Tracy Prod /l 1r3 0 G DW 1,1 <br /> 4 Faulkner G DW <br /> S lfaEl iZ.1 G DW <br /> B *► ""+� <br /> Misc. Notes: ----L- IN <br /> Relin ished By: Date: Time: elinquished By: pate: Time; R !i fished B <br /> y• Date: Time; <br /> io <br /> Final Sample Dispostion: <br /> Lab Disposal:,/`/^ Returned to Client Recei ed by: ate: Time: Received <br /> by: Date: Time: Received by: Date• Time <br /> Meth. of Disposal: Date Ret. ' <br /> Corporate otficgs&LaboTetnry b <br /> P.O.Box 2721853 Corporation Street ffi nd L or for <br /> Santa Paula,CA 93061-0272 2500 Stagecoach Foal Field Office <br /> TEL:{805)659-0910 Stockton,CA 95215 Visalia,California <br /> FAX:(805)525-4172 TEL: (209)942-0181 TEL: (209)734-9473 <br /> FAX: r?nnt 9v ndoi Mobile: (209)737-2399 <br />