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-EMVIROMMENTAL hIi� T US"I-ODY <br />QUARTERLY- r ie .,��� ---- <br />Client City of Stockton, John Fukumoto, P.E. <br />TEST <br />DESCRIPTIONS <br />See <br />reverse <br />side <br />for Container, <br />Preservative <br />and Sampling <br />information <br />Address: Public Works Department, Solid Waste Div <br />City Hatt, 425 North Et Dorado Street <br />Stockton CA 95202-1997 <br />0 <br />C'• <br />Phone (209)937-8829 <br />Cn <br />z <br />9 <br />Fax (209)937-8277 <br />3-11207 <br />uw, <br />NZ <br />co w <br />N <br />Project Name : Austin Monitoring MW -1 <br />LU <br />l— <br />z <br />Contact person : John Fukumoto, P.E. <br />L- <br />Ui <br />w <br />V) <br />O <br />Purchase order Number: <br />o <br />CD <br />a CD <br />Y <br />g <br />QA/QC report required: Yes No <br />°�' <br />N4 <br />_a <br />o N <br />® <br />u <br />4J <br />CD <br />U <br />-0 CD <br />rn °o <br />I <br />t) <br />v <br />Sampter(s): az [ 4r� %�� Q c✓`._ <br />a <br />: V)•w <br />~ <br />M s <br />a <br />Comp sampler setup Date: _/_/_ Time:_ _ <br />�gEt <br />�, <br />z <br />U <br />z N <br />�0., <br />M <br />U <br />Rush Results due By: <br />o, <br />z <br />i <br />z a <br />_/_/_ <br />Date ReceivEQ: _/_/_ <br />C <br />d <br />v <br />N <br />u <br />U N <br />w °o <br />C3 <br />U 0 <br />_ <br />E <br />N <br />Y N <br />Q <br />U <br />d <br />m <br />m <br />`– <br />// <br />Lab Nunber533bg1G <br />`M <br />s <br />�, <br />� <br />+ <br />O <br />e <br />O <br />O <br />d <br />n <br />0. V <br />C <br />w <br />.0 a+ <br />U C <br />N V <br />CO C <br />a <br />L 41 <br />U C <br />4/ <br />C <br />vo v <br />S 4/ <br />U C <br />y <br />U1 <br />Same <br />Location/Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />a <br />w <br />1 <br />MW -1 Field Parameters <br />�1��/1 <br />�•�t� <br />G <br />MW <br />1 <br />1 <br />2 <br />MW -1 Monitoring Parameters <br />7l«t'9S <br />�• 1` <br />G <br />MW <br />2 <br />1,1 <br />3 <br />MW -1 Constituents of Concern <br />.° <br />G <br />MW <br />1 <br />1 <br />4 <br />MW -1 Travel Blank <br />7! 'S_ <br />3 f� Zy <br />G <br />LBW <br />1 <br />5 <br />MW -1 Field Blank <br />1t S <br />3: 2 <br />G <br />LBW <br />1 <br />Misc. Notes: <br />Relinquished By: Date: Time: <br />Relinquished By: Dat Time: Relinquished By: Date: Time: <br />71:.� s- 7. t-, <br />�' -�I /9s' nor <br />Final Sample Dispostion: <br />Lab Disposal: _/_/_ Returned to Client <br />Rec iv d b I Date ime: <br />��U <br />ceived by: Date: Time: a ive by: � Date: Time: <br />A ( <br />� � i <br />Meth. of Disposal: Date Ret. _/_/_ <br />(y� 5 <br />vJ <br />. �j� ?�/2�5 %/' - <br />Corporate Offices & Laboratory Office and Laboratory Field -Office <br />F O Eloy ?77 853 Corporation 9500 Stlfieco:lch (iund Visalia. Caliloima <br />� I' !til i. (.A �� "�r ,- Rtocl trw CA 99,',)1 1, <br />