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ENVIRONMENTAL CHAIN OF CUSTODY <br /> Client : Luhdorff & Scalmanini, Consulting Eng. TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: 500 First Street 1 <br /> Woodland CA 95695 <br /> Phone (915)661-0109 U+ <br /> ur <br /> Fax 73-12023 m <br /> U) <br /> Project Name : Quarterly Water Sampling <br /> Contact person : Liese Schadt L <br /> Purchase order Number: CT <br /> QA/QC report required: Yes No U * Q ? <br /> Sampler(s): r'r/arz- <br /> Cane sampler setup pate r/�/� Time:_ _ 0 r4 <br /> x W <br /> z <br /> Rush Results due By: _/_/_ o, = Q Q. ° <br /> Y7 m ~. <br /> N ci <br /> Date Received: ^��))/ / 4 <br /> ay d; C o <br /> Lab Number-. <br /> a o o m ja• <br /> $amp Location/Description Date Time c o <br /> Num Sampled Sampled <br /> 1 Browns New G DW <br /> 2 South Tracy Prod —Z7-% G DW 1/ fjrl <br /> �a fi <br /> 4 Faulkner G DW <br /> 5 Hall »�7, G DW 1,1 1 00✓ <br /> 6 Browns #1 � G DW 1,1 It✓ <br /> Misc. Notes: Relin ed By: te: Time: Relinquished By: Date, Time: Relinquished By: Date: Time: <br /> Final Sample Dispostion: .? <br /> Lab Disposal: Returned Returned to Client ceive y: Date: Time: Received by: Date: Time: JZeceid by: bate: T'y <br /> Meth. of Disposal: Date Ret. 0 0 <br /> Coryorate at ices&Laboratory Office aend,L,�a`lboratory Fi Offing <br /> P.O.Box 2721853 Corporation Street 2500 Stagecoach Road Visalia,Calitomia <br /> Santa Paula,CA 93061-0272 Stockton,CA 952#5 TEL: } <br /> TEL:(805)659 0910 Stockton, <br /> (209)A 952181 (209 734-9473 <br /> Mobile: (209}737.2399 <br /> •s �nnn.lh 1.11- <br /> 1 A <br />