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�- ENVIRONMENTAL CHAIN OF CUSTODY <br /> QUARTERLY Laboratory Copy (1 of 3) <br /> Client 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 <br /> W <br /> Phone (209)835-3210 233 '^ <br /> Fax 3-2795 y y <br /> _ cc <br /> Project Name It Monitoring Welts <br /> Contact person Anne 09rey w <br /> Purchase order Number. (n <br /> QA/QC report requi ed Ye No m i <br /> r „ 41m <br /> ° <br /> Samplers) <br /> Comp sampler setup Date _/_/_ _ Time <br /> u I <br /> Rush Results Due By* _/�/r .0 �, a 4L <br /> m 41 <br /> a <br /> Date Received _!_/__ tom s g <br /> r� <br /> rn n z a <br /> Lab Number J o o n <br /> Samp Date Time <br /> Nun Location/Description Salrpled Sampled <br /> 1 Mw-'e ,¢ Y� q2 c c oV/il z 2 -2- <br /> 2 MW;X pd2 c GWW 2 2 x3 <br /> i <br /> Misc NotesORelin ed By Date Time Relinquished By Date- Time Relinquished By Date Time' erELINQUIShrr Y STARR <br /> Final Sample Dispostion <br /> Lab Disposal _.__./_-__/_ Returned to Client Received by Date Time R ,i s 1 me Received by bate Time <br /> Meth of Disposal Date Ret ^/_/_ I Z Z� 2 q 2Z <br /> qsp� t�OfflF��& La14orQtgr� <br /> Office-6 Laboratory FJOW01fte <br /> P O Pax 27 3 Corporation Strom 2500 91120181 <br /> Jt h nol't VF' fS59) <br /> C'll le0MI.1 <br /> Sanla Paul 3061 0272 Stork95215 ^+r'i' 1i ��� 559)734 9473 <br /> TEL (805)910 tEL NU Y 0 (559)737 2399 <br /> FAX (805)5i 4172 FAX (209)q42 0429 734 8435 <br />