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ENVIRONMENTAL CHAIN OF CUSTODY <br /> .DUARTER of 3) <br /> Client Luhdorff & Scalmanini, Consulting Eng. TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: 500 first Street I <br /> Woodland CA 95695 F <br /> Phone (916)561`0109 °1 <br /> � a <br /> � u <br /> Fax 3-12023 w <br /> C3 > <br /> Project Name : Quarterly Water Sampling a <br /> contact person : Liese Schadt C) L ' <br /> Purchase order Number: ' -t b"ZZ o <br /> QA/QC report required: Yes No s <br /> a n � <br /> Sampler(s)' Wu FST �� C- <br /> y 0. 0 N N <br /> C �O Cn <br /> Comp sampler setup Date:_/—/_„_ Time _ cr x z <br /> Rush Results due By: <br /> u <br /> v tO a <br /> Date Received: / / a 'ru- <br /> m ,�v <br /> - - -- r <br /> 3�1� � y <br /> Lab Number: _ <br /> 0 0 0 ca <br /> Same Location/Description Date Time a 0 u <br /> Num Sampled Sampled w <br /> tPow <br /> Faulkner a�L 9 1310 G DW 1,1 1 <br /> Hall �,rf7 �z G DW <br /> Browns #1 kx�1�,- a 955 G DW 1,1 D <br /> Misc. Notes: Reli fished By: Date: Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> Final Sample Dispostion: <br /> Lab Disposal:—/ /_ Returned to Client ecei ed by: Date: Time: R eived by: Date: Time: Rece' ed by: Date: Time: <br /> -q <br /> Meth. of Disposal: Date Ret. /�/� lb���^�� ��{•�a Y� Yod <br /> C2morale 011ices&Laboratory Office and Laboratory field Office <br /> P.O.Bax 272 1 853 Corporation Slreet 2500 St <br /> 0 <br /> agecvach Rvad Visalia,California <br /> I Sanla Paula,CA 93061-0272 Stockton,CA 95215 TF L: (209)734-9473 <br />'I. TEL:(805)659-0910 TEL: (209)942-0181 Mobile: (209)737-2399 <br />