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ITA. <br />Egg r <br />ENVIRONME <br />CHAIN or, UsTODY <br />I TO"'I I a' <br />Client : City of Stockton, John Fukunoto, 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 />�• <br />Phone : (209)937-8829 <br />in <br />z <br />O <br />Fax : (209)937-8277 3-11207 <br />- ----- <br />LU <br />in <br />> <br />w O <br />O <br />F - <br />v <br />FF--- <br />O <br />Project Name :Austin Monitoring MW 10 <br />Contact person : John Fukumoto, P.E. <br />L- <br />w <br />Y <br />Purchase order Number: <br />*x <br />O <br />ri C:) <br />a <br />CD <br />� <br />QA/QC report required: Yes No <br />'' <br />w <br />l-- <br />F- <br />sv <br />I- <br />o <br />v <br />W <br />a� <br />ro <br />N <br />I- t.') <br />N O <br />o <br />N <br />_v <br />-- <br />Sampler(s): S� za rr� <br />(na0 <br />a <br />E° <br />Carp sampler setup Date: _/_/_ Time: ® <br />F6 <br />u <br />C <br />z <br />U <br />h Y <br />O <br />Z N <br />N <br />N <br />= <br />_ <br />M <br />U <br />(� <br />N <br />Rush Results due By: <br />a <br />s <br />a s <br />i <br />o <br />o <br />Date Received: _/_/_ <br />c <br />u <br />w <br />s <br />U 0 <br />E <br />N <br />J N <br />a' <br />U <br />a <br />2 G <br />m <br />m <br />00 <br />Lab Number: 5.33Q , <br />If- <br />4- <br />1 <br />t <br />�, <br />C0:' . <br />0 <br />2- <br />0 <br />0 <br />a- <br />a <br />n. e1 <br />C <br />U <br />t N <br />U C <br />U <br />r Q 4J <br />00 C <br />t Y <br />U C <br />U <br />a <br />C <br />�o `0' <br />r. v <br />U C <br />U <br />v <br />2 <br />- <br />Samp <br />Location/Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />s <br />w <br />a <br />a <br />1 <br />MW -10 Field Parameters <br />'711,1e,15 <br />W/:5'v <br />G <br />MW <br />1 <br />1 <br />2 <br />MW -10 Monitoring Parameters <br />G <br />MW <br />2 <br />1,1 <br />3 <br />MW -10 Constituents of Concern <br />s, <br />G <br />MW <br />1 <br />1 <br />4 <br />MW -10 Travel Blank <br />G <br />LBW <br />1 <br />5 <br />MW -10 Field Blank <br />; <br />G <br />LBW <br />1 <br />Misc. Notes: <br />Relinquished By: Date: Time: <br />Relinquished By: ate* Time: Relinquished By: Date: Time: <br /><— -71, o -IS' 7 :1/ o ' <br />J <br />G so 1/ �itc 7//2 195. )7o,) <br />� ��' <br />Final Sample Dispostion: <br />(y����- <br />Time: <br />y:'�.� <br />eived by:/Date: Time: eived by: Date: Time: <br />Lab Disposal:_/_/_ Returned to Client <br />Meth. of Disposal: Date Ret. _/,/_` <br />%QDate <br />hakil-it4tA—I �L) 17.- i <br />�C�1Y 71/7-/45 /a-,-004 �1 C1 <br />Corporate Offices & Laboratory <br />I' r> flnv ^ 7P + 855 Co! pwatlon "'boot <br />Office and Lahoialory <br />2500 tarp,(r"If 11 ll(rtd <br />k� <br />11f"llrt\ ll 4) <br />Field Office <br />tialiI. Califumi t <br />•9 n f'e �^ <br />