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1-0 EI IKONMENTAL 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 o n• <br /> Phone (916)661-0109 f^ T_ <br /> Fax 3-12023 <br /> inm <br /> Project Name : Quarterly Water Sampling a s I <br /> Contact person : Liese Schadt L. W <br /> Purchase order Number: _ b^ <br /> QA/QC report required: Yes No41 <br /> 41 L <br /> Sampler(s): GAIVe wLAGSr `" 0 <br /> Comp sampler setup Date;_/_/_ Time:_ _ A `� 'yam" N k <br /> Rush Results due By: / <br /> ti <br /> Date Received: N o ° <br /> m stn �s <br /> Lab Number: 4- 4- 4J c� �- <br /> O 0 a �C C m <br /> EO <br /> Samp Location/Description Date Time 'N o u° <br /> Num Sampled Sampled �- a <br /> 1 Browns New //(_7C> G DW 1,1 <br /> 2 South Tracy Prod �1 V 12 So G DW 1,1 <br /> 4 Faulkner 11 9f J.4_10G DW <br /> 5 Hall 2j'91 1356 G DW <br /> 6 Browns #1 /-21-V 1ppd G DW 1,1 <br /> Misc. Notes: Reli ed By: Date: Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> Final Sample Dispostion: <br /> Lab Disposal:—/—/— Returned to Client ecei d by: Date: Time: a eived by Date: Time: Received by: &Dale- <br /> Meth. <br /> of Disposal: Date Ret. / / --2 -q 15"( re 11Dun� �-�'�� I/ <br /> U <br /> uq <br /> Corporate Olfices&Laboratory Office and Laboratory Field Offlee ! Q� <br /> P.O.box 2721853 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- r?n91 n42-n4?.n <br />