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=-ENVIROMMENTAL <br />ffAIN OF UsroUY <br />-QUARTERLY-- <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 Hall, 425 North El Dorado Street <br />Stockton CA 95202-1997 <br />0 <br />Phone (209)937-8829 <br />"' <br />Z <br />Fax (209)937-8277 3-11207 <br />(n <br />> <br />z <br />z <br />o: <br />cn <br />Project Name :Austin Monitoring MW -3 <br />n <br />w <br />O <br />OF <br />- <br />Contact person : John Fukumoto, P.E. <br />w <br />x <br />)V) <br />Purchase order Number: <br />_ <br />* <br />O <br />®_a <br />QA/QC report required: Yes No <br />U <br />0' <br />N <br />� <br />o ni <br />i— <br />a+ <br />N <br />° <br />a <br />A <br />+• <br />a+ <br />o <br />M o <br />F -O <br />s <br />O <br />_ <br />a <br />Sampler(s): bo yi tU u, N Q t so.- <br />Comp sampler setup Date:_/_/_ Time:_ _ <br />U <br />z <br />D <br />n <br />r+- <br />J <br />U <br />z C\1 <br />N <br />__ <br />O�+1 <br />U <br />N <br />Rush Results due By: _/_/� <br />z <br />:3 <br />CL <br />m <br />Date Received: _/_/_ <br />v <br />O <br />M o <br />. O <br />u+ o <br />E <br />o <br />,N <br />U o <br />C) <br />" <br />-� O <br />¢ �2 <br />U <br />° <br />_ <br />s <br />oo <br />N <br />C <br />ffes�/ <br />Lab Number:5331✓-� <br />(n <br />e° <br />O <br />v <br />O <br />O <br />d <br />.r- <br />0, a+ <br />C <br />U <br />t e-+ <br />U C <br />10'- <br />N +� <br />Co C <br />L ++ <br />U C <br />U <br />a+ <br />C <br />L +• <br />U C <br />W <br />Samp <br />Location/Description <br />Date <br />Time <br />a <br />w <br />w Un¢. <br />U <br />w <br />U Uv <br />0 <br />U0 <br />Num <br />Sampled <br />Sampled <br />e- <br />r- <br />� <br />3 <br />w <br />3 <br />+- <br />3 <br />ul <br />1 <br />MW -3 Field Parameters <br />e0 <br />�.cfti., <br />G <br />MW <br />I <br />1 1 <br />1 <br />2 <br />MW -3 Monitoring Parameters <br />7 jJ <br />.5 X4,3 <br />G <br />MW <br />2 <br />1,1 <br />3 <br />MW -3 Constituents of Concern <br />-7/i,)ASret, <br />G <br />MW <br />1 <br />1 <br />4 <br />MW -3 Travel Blank <br />;%J <br />T.' q a <br />G <br />LBW <br />1 <br />5 <br />MW -3 Field Blank <br />Maltj+Z, <br />- <br />G <br />LBW <br />1 <br />Misc. Notes: <br />Relinquished By: Date: Time: <br />Relinquished By: Time: Relinquished By: Date: Time: <br />,,fat <br />Final Sample Dispostion: <br />Received by ate: Time: <br />�l'S® <br />eived��by: Date: Time: R eiv by: D tej• Time:^ <br />Lab Disposal:—/—/— Returned to Client <br />Meth. of Disposal: Date Ret. _/�/_ <br />. <br />ui4'CJuG 7,f2A-s- oa'�/- <br />------------ <br />Corporate Offices & Laboratory Office and Laboratory Freid_O Tice <br />I Rox 272 853 Corporalion Street 25(10 t y0 co rch Rood q Visalia, (aldowrl <br />P1iii ( 1n-. �'4n It�n.('�. �. 1� �r/1r� �� IQ�f7r! <br />t!, I l I . <br />C <br />