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ENVIRONMENTAL CHAIN OF CUSTODY <br /> QUARTERLY Laboratory Copy (1 of 3) - <br /> Client Luhdorff & Scalmanini, Consulting Eng, TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: Luhdorff & Scalmanini, Consulting Eng. <br /> 500 First Street <br /> Woodland, CA 95695 <br /> tu <br /> Phone (916)661-0109 N �, <br /> Fax 3-12023 �; o <br /> Project Name : Quarterly Water Samplingul <br /> Contact person : Liese Schadt roUJ <br /> � <br /> `moi i <br /> Purchase order Number: , <br /> QA/QC report required: Yes No Y o <br /> v n <br /> N <br /> //�` �Wlu N <br /> Sampler(s):l.r'' �Ylp �'s�cxT �i..SeE� N nY° $ �^ <br /> Comp sampLer setup Date:^/�/� Time: .... �, N 0 <br /> l� <br /> Rush Results Due By: <br /> V <br /> Date Received: <br /> N N !a J <br /> Lab Llunbe r: Cr�� 3� v- ,� ° <br /> Same Date Time ,ti4l <br /> 11um Location/Description Sampled Satlpled <br /> N <br /> Dll (� <br /> South Tracy Prod p.r�. j pgc�y' G DW 1,1,1 Y f <br /> Faulkner j-J]_ S� G DW <br /> Nall d��9 iD� G Du 1,1,1 1 ,q <br /> t � <br /> Misc. Notes: Rei quished Date: Time: Relinquished By: Date: Time: Relinquished By: Date: Time:'50 <br /> �/�//1T-P� //}d I ") <br /> Final Sample Dispostion: E [3Y: Y. ^}���� <br /> Lab Disposal:_/_/_ Returned to Client Received by: Date: Time: RNNVED BY: GRE'MJQUNDime: c d by: Pate: Time: <br /> Meth. of Disposal: Date Ret. /_/_ 1/^/7 L�9 1 l� � -� h//F#q '�6& <br /> cQ[r�ral� Ifis�� Latz[alQgr Office 8 Labormm E1e11411JcQ <br /> P.O.Dox 272 1 053 Corporalion Street 2500 Stagecoach Road NOV Visalia,Caliloada <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 NO lI 3 �+ 1999 TEL:(559)734-9473 <br /> TEL: (005)659.0910 TEL: (209)942.01131 Mobilo:(559)737-2399 <br /> nAv' rrr� rnx• !?n(nn4p-o4pft 171,. 111•11..". -, . <br />