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ITAL <br /> CHAIN OF CUSTODY <br /> MONTHLY Laboratory Copy (1 of 3) <br /> Client Lionudakis Wood & Green Waste Recycling TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: Lionudakis Wood & Green Waste Recycling <br /> 25071 E. Jones Road " <br /> Escalon, CA 95320 49 N <br /> w <br /> o C�• <br /> Phone : (209)982-4936: H <br /> Fax : (209)982-4937: 3-13298 y <br /> oe rn <br /> w <br /> Project Name : Compost Testing L _ <br /> Contact person : Loren Jessup u, a <br /> a w a <br /> Purchase Order Number: U' <br /> QA/QC report required: Yes No N '' U <br /> a0+ W L 9i 0 <br /> y O U 3 <br /> ampler(s): o <br /> Camp sampler setup Date:_/_/_ Tilde:_ _ 0 N <br /> N <br /> _ <br /> .. a <br /> Rush Results Due By: <br /> J v 09 rR � •O � V <br /> Date Received: �!L- <br /> i3 N O yN 41 Co <br /> Lab Number: / °pEN <br /> i '- <br /> O O a 0 C d C V C N <br /> OO O <br /> Samp Date Time O p <br /> E <br /> Nutt Location/Description Samp ed Sampled ,�` ' m ` ) i° <br /> rR <br /> 1 Finished Compost �l G Slc 1 1 1 <br /> Misc. Notes: pby: <br /> D e• Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br /> ,044 G1 a-Final Sample Dispostion: LI` '��J'-iLS �' tiLab Disposal:_/1_ Returned to ClientDate: Time: Rece FIVE D 13Y: ti YW® Received by: Date: Time: <br /> Meth. of Disposal: Date Ret. f / g-'' /� ?-'r-99 <br /> -' e33 <br /> Corporate Offices&Laboratory Office&Laboratory Field Office <br /> P.O.Box 272/853 Corporation Street 2500 Stagecoach Road Visalia,California <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 TEL:(559)734-9473 <br /> TES.: (805)659-0910 TEL: (209)942-0181 Mobile:(559)737-2399 <br /> FAX- (805)525-4172 FAX, !209)9-12-0-123 FAX—(.559)-72,e <br />