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=._ EIYVIKONMENTAL <br /> QUARTERLY CHAIN OF CUSTODY <br /> Laboratory Copy , (t of 3) <br /> Client ; Luhdorff 8 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 /> w _. <br /> n <br /> Phone : (530)561-0109: <br /> Fax : (530)661-6806: E2=023 o <br /> �o m <br /> Project Name Quarterly Water Sampling <br /> w <br /> UJ <br /> Contact person : Liese Schadt w o <br /> Purchase Order Number: " uwi = <br /> M <br /> QA/QC report required: Yes No <br /> m o a <br /> s. m <br /> N U <br /> n_ <br /> Comp sampler setup pate:`/_/� Time _ �n y <br /> N_ = <br /> Rush Results Due By: / / a '� x c ANALYSES PER n.gMED N� STOC TON: � <br /> -- a <br /> Date Received: -pg <br /> ,N 2.' T <br /> Lab Number: �Jv� g �7 <br /> a i <br /> n o omN "a� <br /> samp Date Time ° o o ALL 1 ...: L)JL'J .,:"ORM D IN SAP ITA PAULA <br /> Num Location/Description Sampled Sampled m <br /> k?;/1 <br /> Dir otx 'No� ,f { <br /> Width-f y <br /> r.-4- Faulkner 1710 G DW <br /> sr Nall -24-00 1/30 G DW 11,1,1 1 �� <br /> 7� i5 <br /> Browns #1 •Za-do JO-50 G DW <br /> ti <br /> Misc. }Dotes: 5!`'�f Re .! quished B Daufshed By: <br /> Time: Relinquished By: Date: Time: R in <br /> q Y= Date: Time: <br /> Final Sample pispostion: 6 QDISl!EfJ QY: Y. STARR <br /> Lab Disposal:—/--/— Returned to Client Rec ed by: Date: Time: R d <br /> �N Q me: Re ved by: Date: Time: <br /> Meth, of Disposal: Date Ret. _/_/^ G+� 2.zy.aj <br /> �2rt>Qra�4I(ir Lpbor ttofy 011ice 8Lat Qratory <br /> P.O.Dox 272 1853 Corporation Street 2500 Stagecoach Road 1 i4ltf QII1Q� <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 Visalia,Califomia <br /> TEL; (805)659-0970 TEL: (209)942-0181 MAR t y TEL:(559)734-9473 <br /> Fp X; (FlDS)525-4172 FAX; (209)942-0423 R t 2nnn Mobilef(559)737-2399 <br /> f <br />