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ENVIRONMENTAL CHAIN OF CUSTODY <br /> QUARTERLY Laboratory Copy (1 of 3) <br /> G ient Spreckles Sugar Co TEST DESCRIPTIONS See reverse side for Container, Preservative and Sampling information <br /> Address Spreckles Sugar Co <br /> P 0. Box 1287 ! <br /> Manteca, CA 95336 I <br /> w <br /> Phone (209)835-3210 233 <br /> Fax 3-2795 {tu d <br /> i1C N <br /> Project Name Monitoring wells <br /> Contact person Anne Ogrey <br /> 0 w <br /> Purchase order Number* to <br /> GA/OC report required: Yes No U $ <br /> d 40 <br /> J s d <br /> M <br /> Sampler(s):_ <br /> o <br /> r <br /> Coop sampler setup Date•_/_/_ Time• Li z L- <br /> e. V G U <br /> Rush Results Due By: �/_ x x z 1 <br /> d > <br /> Date Received, <br /> Lab Number 30 q 4- 4- 4.19 <br /> 0. �v5 0 <br /> � <br /> Sanip Date Time <br /> Num Location/Description Sampled Satipled <br /> 1 MW-A 131 op 16'45 G GWIP 2 2 <br /> 2 MW-B c MA 2 2 2 <br /> v <br /> Misc Notes Rel quished By Date Time Relinquished By Date Time Relinquished By Date Time <br /> 1 /171100 /l04 11�ntji� r -` <br /> FinLab <br /> D Sample <br /> osaL Dlspost)on. �, ,�t"VFf) ny (-,,RVYH()UI by <br /> Lab Disposal _/_/_ Returned to CEient Received Dste11•�� Time Rec Recetire Date Time <br /> Meth of Disposal Date Ret �JJ� 1—jrZ1Q /(, I, <br /> �ornor�te Off�9�Laboratory Q3ILF�Le441QC9S5t n d Qjfj&s <br /> P 0 Box 27 Corporation Street 2500SI nch Tload Cahtamra <br /> Santa".ula OGi 0272 Stockt 95215 '59)734 9473 <br /> TEL (R05)610 TEL (2 42 Oi81 Mo i e (559)737 2399 <br /> FAX (n05)525 4172 rAX (209)942 0423 FAX (559)714 13435 <br />