Laserfiche WebLink
ENVIRONMENTAL Semi-Annual CHAIN OF CUSTODY <br /> www.fglinc.com Laboratory Copy (1 of 3) <br /> 11,11,111 lum Iry 30600:1110112010 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client. Luhdordf&Scalmsniril Consulting <br /> Address: Luhdorff&Scalmanini,Consulting Eng. <br /> Amt: Till Angermanrr <br /> 500 First Street <br /> Woodland,CA 95695 3 <br /> Phone: (530)661-0109 Pax: (530)661-0806 K <br /> Contact Person: Till Angermann 0 <br /> Project Name: Water Monitoril)g o <br /> Purchase Order Number: <br /> Quote Number: ¢ <br /> � a <br /> Sampler(s) GARY <br /> (j svi ' 0 en <br /> �J BS <br /> m <br /> Sampling Fee: Pickup Fee: c a <br /> CL �, a <br /> Compositor Setup Date:—/ I Time: / d <br /> p p / 505/ -- E o cz <br /> Lab Number: STK rJ 3- pz3 o C a i <br /> Samp DateTime 5 .0 'a ami N <br /> Num Location Description Sampled Sampledw o U N <br /> 1 Granite 13 //.3p /Q G Sys <br /> 2 Brown's New 3&AD �tJ/j G DW <br /> 3 South Tracy 1!3 1.3,)-J6 G DW <br /> 4 Faulkner o_!a [O/00 G Sys <br /> 5 Hall //•30-/0 /_;y G Sys <br /> Remarks: Reli fished a Time: Relin wished Date: Time: Relinquished Date: Time: <br /> PP 1(S+fd <br /> ed By: I ate: Time: Received By., Date: Time: Received By Date: Time: <br /> /10 /�3 Kul/rc l r�39/io Ile <br /> gate Offices&1.aba tory Office a L.aboratory Office&Laboratory Fleid Office <br /> 653 Corporelion Straat 2500 Stagecoach Road 563 E.LindoAvenue Visa4a,California <br /> Santa Paula.CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559!734-9473 <br /> TEL:8051392-2000 TEL.-2091942-0162 TEL:5301343-5819 Mobile:5591737-2399 <br /> FAX:8051525-4172 FAX;2091942-0423 FAX:53013433807 FAX 5591734.8435 <br />