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Agm <br /> ENVIRONMENTALa tec CHAIN OF CUSTODY <br /> ww gFinc. om <br /> Laboratory Copy (1 of 3) <br /> 33273:11/0712012 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: Masco Family Olive Environmental <br /> Address: Atm:Arnanda Devlin <br /> 17950 Via Nicolo ,a <br /> Tracy,CA 95377 °a1 <br /> N � <br /> Phone: (209)836-4600 Fax: (209)836-0853 3 a <br /> Contact Person: Amanda Devlin p a <br /> Project Name: Leach Line Monitoring 9 0 <br /> Purchase Order Number: t7 <br /> C00 <br /> Quote Number: v j Z a <br /> Sampler(s) <br /> o Wz % O z E4 M o <br /> U + y sn o0 Cn v <br /> t c a z .__V) Ca <br /> Sampling Fee: Pickup Fee: a° V1 L7 N rq v F' <br /> Q T <br /> Compositor Setup Date:_/_/_ Time: <br /> co °¢C- <br /> E 0 Co <br /> 3-1154rz <br /> lLab Number: STK v <br /> Samp Date Time .5 r' ro '� m U !O N U- U ` <br /> Num Location Description Sampled Sampled E= a o3 MO E „ _ r <br /> 3 w He <br /> 1 L-1 _ ( (03p G WW 1 1,1,1,1 2 -.-C— 15eb-1 <br /> 2 L-2 3.�t (v�U G WW 1 1,1,1,1 2 <br /> 3 L-3OYC G WW 1 l,l,l,l 2 <br /> Remarks: Relinquished Date: Time: Relin uished Date: Relinquished Date: Time: <br /> Re ed By: Date: Time: By: ;,/Date: Time: Received By: Date: Time: <br /> �v��-t�,:h5 S�P�+ 3��-��I -�.�-r �2(S` °%/3�0 �, 3 �I�{ IIUS• <br /> Qomorate Offices&Laboratory Office&La oratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Drive,Suite D Visalia,California <br /> Santa Paula.CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:5301343-5818 TEL:805/783-2940 Mobile:559/737-2399 <br /> \ FAX:805/525.4172 FAX 209/942-0423 FAX:530/343-3807 FAX:805/525-4172 FAX:559/734-8435 <br />