Laserfiche WebLink
ENVIROI`IMENTALq to� CHAIN OF CUSTODY <br /> www.- * I <br /> • Laboratory Copy (1 of 3) <br /> 33273:05/04/2011 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: Museo Family Olive Environmental <br /> Address: Atm:Amanda Devlin <br /> 17950 Via Nicolo M <br /> Tracy,CA 95377 <br /> � rr <br /> Phone: (209)8364600 Fax: (209)836-08530. <br /> Contact Person: Amanda Devlin ; n a I 0 <br /> Project Name: Q v, <br /> Leach Line Monitoring � a 2 <br /> Purchase Order Number: O 113 a r0 b A <br /> o <br /> Quote Number: V �u E- °O <br /> z7 ¢ a <br /> aL� <br /> 1 l 7y y _ Y <br /> Sampler(s) <br /> NM <br /> r M\' ',,�\(� 0CY! I t� E w zH � Z SG 0 <br /> U i F. <br /> r H a O 0 <br /> z 5rn <br /> Sampling Fee: Pickup Fee: °° a a N <br /> C T <br /> Compositor Setup Dale:_/_/_ Time:_/_ E ?3 a z O0 c Z !� <br /> rIS�ICt� ti e oN _ $ <br /> 3 11544 0 o A <br /> Lab Number: STK a v `��' ;> <br /> o <br /> Samp Date Time -S v 3E L1 N u <br /> Num Location Description Sampled Sampled o �0 5 °' u O$ O o <br /> P P >0 P a a1 go N 3 m Fv <br /> 1 L-1 1)_7 -11 / G WW I 1,1,1,1 2 <br /> 2 L-2 ��-ZI-it : ztJ G WW 1 1,1,1,1 2 <br /> 3 U3 WW 1 1,1,1.1 2 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: uished Date: Time: <br /> LA � <br /> �2 <br /> r:c1 -c, i-1-_Z>-\N 13.i5 i�"2Z-11 l3Z s 12=/!r <br /> l \� R ivi By: Date: Time: By: / ate: Time: Received By: / te: Time: <br /> Corporate Offices& Laboratory Office 8 Laboratory Office 8 Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E Lindo Avenue 3442 r s it D `�1� Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San is 340 (/Il V TEL:559/734-9473 <br /> TEL:8051392-2000 TEL:209/942-0182 TEL:5301343-5818 TE : rn/Q�1 �obile:5591737-2399 <br /> FAX:8051525-4172 FAX:209/942-0423 FAX:530/343.3807 F 805 U(`f/JI AX:5591734-8435 <br />