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IURMVIRONMENTAL <br />HAIL or uS�ronY <br />•QUARTERL <br />Client : City of Stockton, John Fukumoto, P.E. <br />J f Office' nd Laboratory <br />y <br />TEST <br />DESCRIPTIONS <br />►V1 2500 S t;i(Ir r mwh t;il;l() <br />- See <br />reverse <br />side <br />for Container, <br />Preservative <br />�� ���� <br />and Sampling <br />information <br />Address: Public Works Department, Solid Waste Div <br />City Halt, 425 North El Dorado Street <br />Stockton CA 95202-1997 <br />0C1- <br />Phone (209)937-8829 <br />rn <br />C:) <br />FaxUJ <br />(209)937-8277 3 11207 <br />(n <br />LU <br />>Z <br />UJ <br />O <br />Z <br />O <br />V <br />CD <br />H <br />Z <br />w <br />N <br />Project Name : Austin Monitoring MW -5 <br />Contact person : John Fukunoto, P.E. <br />w <br />N <br />CD <br />' <br />Purchase order Number: <br />® <br />p <br />U <br />QA/QC report required: Yes No <br />_ <br />" <br />w <br />I --F- <br />_a <br />o N <br />o <br />W <br />a.+ <br />o <br />a <br />V <br />rn <br />O a <br />vi <br />s <br />V) <br />/V1241,1— <br />d <br />v <br />N <br />® <br />0En <br />_M <br />Cane sampler setup Date: _/_/_ Tian?:_ _ <br />u <br />O <br />z <br />a <br />LL <br />c3 <br />N <br />z .ro <br />S <br />p <br />v <br />N <br />Rush Results due By:m <br />_ <br />U <br />a <br />Date Received: / / <br />Gl <br />J O <br />u,O <br />U O <br />w 10 <br />o <br />U o <br />) <br />� <br />-Id—' N <br />¢ <br />U <br />G <br />TT <br />Lab Number: 5 C.,Jv- <br />In <br />to <br />_ <br />V1 <br />t <br />�T <br />00 <br />N <br />a <br />O <br />O <br />;q <br />O <br />n. <br />n. v <br />C <br />c <br />L 6+ <br />U C <br />+' <br />- <br />tV <br />W C <br />a U <br />U C <br />"U <br />C <br />U U <br />U C <br />a U <br />Samp <br />Location/Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />>-- <br />v <br />0 <br />3 <br />W <br />3 <br />3 <br />1 <br />MW -5 Field Parameters <br />7 0 ` <br />%;V <br />G <br />MW <br />1 <br />1 <br />2 <br />MW -5 Monitoring Parameters <br />1 <br />, C <br />G <br />MW <br />2 <br />1,1 <br />3 <br />MW -5 Constituents of Concern <br />�. <br />rLr <br />G <br />MW <br />1 <br />1 <br />4 <br />MW -5 Travel Blank <br />v <br />G <br />LBW <br />1 <br />o <br />5 <br />MW -5 Field Blank <br />GS <br />G <br />LBW <br />1 <br />Misc. Notes: <br />Relinquished By: Date: Time: <br />Relinquished By- Time: Relinquished By: Date: Time: <br />r' �X-�c�.l� 1, <br />Pat q. <br />/ 1711 <br />Final Sample Dispostion: <br />Re eiv d by: Date: ime:ived <br />by: Date: Time: R ei ed by: Dat Time: <br />Lab Disposal: _/_/_ Returned to Client <br />Meth. of Disposal: Date Ret. _/_/_ <br />�6�Ilol/y,x��S <br />Corporate Offices & Laboratory <br />J f Office' nd Laboratory <br />y <br />Field Office <br />t' �) [lox 272 853 i,oipt )i;ili01i :llr-fl <br />`, �•. ^'� n -,i <br />►V1 2500 S t;i(Ir r mwh t;il;l() <br />, 1 <br />�f. <br />�/l�� <br />� <br />i l ( i:" <br />�I� LI .o, (/1 , �•,�, <br />�� ���� <br />iJ <br />If l "rind tl nl ..t <br />F-1 <br />L J <br />C <br />