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E�`I�lIK01`IMEI�TAL, Quarterly CHAIN OF CUSTODY <br /> Www.fglinc.COM Laboratory Copy (1 of 3) <br /> 30600:04!03/2006 TEST DESCRIPTION See Reverse side for Container,Preservative and Sampling information <br /> Client: Lubdorff&Scaimanini Consulting <br /> Address: Luhdorff&Scalmanini,Consulting Eng: <br /> Attn: Till Angermann <br /> 500 First Street <br /> Woodland,CA 95695 0 <br /> Phone: (530)661-0109 Fax: (530)661-6906 R <br /> Contact Person: Till Angermann <br /> Project Name,. Quarterly Water Sampling ., O w <br /> Purchase Order Number: v <br /> Quote Number: G ; <br /> Sampler(s) �� �r.■*-SII rw„ '; <br /> r p .O <br /> z <br /> Sampling Fee: Pickup Fee: O <br /> p g P •5 0 <br /> Compositor Setup Date;_1_I_ Ti*:_I_ a z .' w �.�E h z <br /> 1 w e 4g .ate. <br /> Lab Number: STK 6241'� f 3-12023 n rn a � <br /> Samp Date Time s3 S. n o 0 <br /> Num , Location Description Sampled Sampled .r ' ° `q <br /> :. D4 0 G-• U-. <br /> 2 South Tracy Prod y J/�jlfl G AW <br /> 3 South Tracy#3 -f'3; MirG DW l,l,l;ll <br /> 4 Faulkner31 1315 G Sys <br /> 5 Hall SI� p 1SD G Sys <br /> 1 GRAN-1TE #5 S31-04 Sys ► t,} <br /> Remarks: Relinquished Date: Time: Relinquished Date, Time: Relinquished �a : Time: <br /> eived By: Date: Time: Received By: bate: Time: Received By: ate: Time: <br /> Carrate Qfflces&Laboratorti Office&Laboratory OCs! <br /> Field <br /> aS:D.fox 2721853 Corporation Street 2500 Stagecoach load Visalia, ornla <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 TEL:(559)734-9473 <br /> rte, .-TSI rona�-Qe a_n�po Mnhile- 15591737-2399 <br />