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ENVIRONMENTAL <br /> OnMEnTA� CHAIN OF CUSTODY <br /> (11IAt?7 -Ry __1 7linr.�f ny�■r .f.nn � !1 of 71 t <br /> Client Luhdorff $ Scalmanini, Consulting Eng- TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: 500 First Street [ <br /> I <br /> Woodland CA 95695 <br /> Phone (916)661-0109 O1 $ <br /> u.t <br /> Fax 3-12023 rn `� <br /> W <br /> u a [ <br /> Project Name Quarterly Water Sampling z <br /> Contact person t Liese Schadt w <br /> Purchase order Number: r ZZZZ s <br /> rn <br /> QA/QC report required Yes No _ <br /> Sampler(s): (;AP-,? G-5 T'-- �!-5c o <br /> O• i O N- N <br /> Comp sampler setup Date:_/_/_ Time: u i <br /> i <br /> Rush Results due By: _/�/� z _° Q „ <br /> N R N v o <br /> Date Received: —I—/— `a) o <br /> _ GI C A4 LL 3 <br /> '� w vi a � r <br /> Lab Number: G����� ~ <br /> N c.7 <br /> Samp Location/Description Date Time a v u oo o <br /> Hum sampled Sampled t- <br /> 1 Browns New 5-246 1030 G DW I p 1,1 <br /> 2 South Tracy Prod 5-2-96,Q G low I P 1,1 <br /> 'La r <br /> G Faulkner, 3115 G DW ? 1,1 1 <br /> 5 Nall it _ 6 /23� G DW f> 1,1 1 <br /> 6 Browns N1 Z c ins G DW 1,1 <br /> Misc. Notes: fte[i fished 8y: D te: Time: :lincuished 11 Date: Time: -Relinquished By: Date: Time: <br /> i l •s os •o <br /> Final Sample D1 p t1 n: <br /> Lab Disposal:_/_/_ Returned to Client Rece' ed Dae Time: Received by: Date: Time: Received by: Rate; Time: <br /> Meth. of Dis osal: Date Ret. / / I > ��� r ���.� 1�. \` <br /> Corporate Offices&Laboratory Office and Laboratory Field Offlce---. <br /> P.O.Box 272,'853 Corporation Street 2500 Slagecoach Road Visafia,Cafifornia <br /> Santa Paula.CA 93061-0272 Slockton.CA 95215 TEL: (2091 734.9473 <br /> TEL:(805)559-0910 TEL: (209)9420181 14fobfe: (209)737.2399 <br /> cAv ,Anti cac .7a <br />