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-_ _- ®PIVIRONMENTAL CHAIN OF CUSTODY <br />QUARTERLY—- b® > Gop; . 1 -of --3) <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 Et Dorado Street <br />Stockton CA 95202-1997 <br />0 <br />Phone (209)937-8829 <br />(nLU <br />0 <br />Fax (209)937-8277 3-11207 <br />� <br />v <br />ate' <br />Project Name : Austin Monitoring MW -11 <br />� <br />O <br />Z <br />C <br />Contact person : John Fukunoto, P.E. <br />Ui w <br />Fes- <br />N <br />� <br />Purchase order Number: <br />(n <br />QA/QC report required: Yes No <br />U <br />w <br />F— <br />Oo <br />N <br />F - <br />w <br />a+ <br />c0 <br />N <br />;_ <br />F- F— <br />(n <br />v <br />cn o <br />,o4.1 <br />o <br />o <br />to <br />N <br />Sampler(s): Je% 2.*t+7 <br />a° <br />�. <br />_M <br />E <br />Comp sampler setup Date: _/�/_ Time: _ <br />�, <br />CO <br />z <br />U <br />-0 <br />�- <br />—. <br />u <br />N <br />z N <br />Z <br />p <br />M <br />Rush Results due By: <br />7 <br />a... <br />s <br />m <br />_a <br />Date Received: —/_/_ <br />u °o <br />w °o <br />o <br />U o <br />E <br />C. , <br />v <br />J N <br />¢ °o <br />U <br />° <br />(T) <br />Lab Number \/ � <br />to <br />N <br />T <br />' <br />s <br />C) <br />eo <br />r <br />N <br />r <br />F <br />41s <br />10 , <br />9 , <br />O <br />M <br />O <br />O <br />0. <br />0.a+ <br />C <br />c c° <br />L 4r <br />U C <br />+ v <br />N V <br />co C <br />¢ v <br />L ++ <br />U C <br />,� <br />++ <br />C <br />v v <br />L a+ <br />U C <br />41 v <br />N <br />Samp <br />Location/Description <br />Date <br />Time <br />Num <br />Sampled <br />Sampled <br />a <br />W <br />3 <br />3 <br />1 <br />MW -11 Field Parameters <br />9;`54 <br />G <br />MW <br />1 <br />1 <br />2 <br />MW -11 Monitoring Parameters <br />s, <br />y <br />G <br />LBW <br />2 <br />1,1 <br />3 <br />MW -11 Constituents of Concern <br />a <br />G <br />MW <br />1 <br />1 <br />4 <br />MW -11 Travel Blank <br />G <br />LBW <br />1 <br />5 <br />MW -11 Field Blank <br />s <br />G <br />LBW <br />1 <br />Misc. Notes: <br />Relinquished By: Date: Time: <br />R linquished y: date Time: Relinquished By: Date: Time: <br />-71j <br />Final Sample Dispostion: <br />Re eived b D te: Time: <br />a eived by: Date: Time: cved y: —7 Date: Time- <br />ei <br />Lab Disposal: _/_/_ Returned to Client <br />Meth. of Disposal: Date Ret. <br />Corporate Offices & Laboratory <br />P () Rox ;)72, 853 Corporalion Shoot <br />?i do Prnila nn onr l �" , <br />a Office and Laboratory <br />2500 5 t g conch fin,uJ <br />.`.locl'livr <br />CA jr, <br />Field Office <br />1qq[il Cnlilonii� <br />7 r rnr �l <br />C <br />