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ENVIRONMENTAL CHAIN OF CUSTODY <br /> Client Luhdorff & Scalmanini, Consulting Eng. M ESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: 500 First Street <br /> u a <br /> Woodland CA 95695 a V �. <br /> Phone (916)661-0109 <br /> LU 4L <br /> Fax <br /> 3-12023 <br /> Project Name : Quarterly Water Sampling p cue <br /> Contact person : Hese Schadt I- � <br /> Purchase order Number: r. * ' <br /> QA/QC report required: Yes No °' ? <br /> v .n <br /> +� m a � <br /> Sampler(s): GAkY WtA=ST LSCC 0 0 <br /> C N U3 <br /> Comp sampler setup Dater/�/_ Time:_ _ �, <br /> Rush Results due By: _/_/ 'o�' z a a <br /> Date Received: <br /> N O <br /> V! Vr .O f <br /> Lab Number: �33 U 41 I v c� "- <br /> U 1 0. 41 41 <br /> C C v <br /> Sartp Location/Description Date Time u° o <br /> Num Sampled Sampled M <br /> 1 Browns New 1_3_V 1/,0,5 G DW 1,1 <br /> 2 South Tracy Prod 73-W 015 G DIJ 1,1 <br /> 3 Koster 1-3-17 /o(O G DW 1,1 <br /> 4 Faulkner 3�9 �p G DW <br /> 5 Hall -I 3_q7 s G DW <br /> 6 Browns #1 7­3�17 09f J5 _G DW 1,1 <br /> EL <br /> Misc. Notes: Rel- fished B Date: Time: Relinquished By: Date: Time:5� Relinquishe By: Date: Time- <br /> Final 3-fl Ag4rL/77 -3-�� C� <br /> Final Sample Dispostion: <br /> Lab Disposal• /�_ Returned to Client a ed b Date: Time: Reci ed by Date: Time: Rec - red ate: T-me <br /> �Meth. of Disposal: Date Ret. /_/ •��b�n� <br /> Corporate 011ices&Laboratory Qlfice and Laboratory Fleld 01 i <br /> P.O.Box 2721853 Corporation Street 2500 Stagecoach Road Visalia,CaMornia <br /> Santa Paula.CA 93061-0272 Stockton,CA 95215 TEL: (209)734-9473 <br /> TFL:18051659.0910 TEL: (209)9420181 Mobile: (209)7372399 <br />