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3 _ ENVIRONMENTAL Semi-Annual CHAIN OF CUSTODY <br /> www.fglinc.com <br /> Laboratory Copy (1 of 3) <br /> ll�ll 70600:05707/2012 TEST DESCRIPTION - See Reverse side for Container.Preservative_and_Sampline information <br /> Client Lulldorff&Scalmardni Consulting - - - <br /> Address: Luhdorff&Scalmanini.Consulting Eng. <br /> Attn: Till Angermann <br /> 500 First Street _ d <br /> Woodland,CA 95695 u <br /> m u <br /> Phone: (530)661-0109 Fax: (530)661-6806 3 v <br /> z <br /> Contact Person: Till Angermann t7 H <br /> a <br /> Project Name: Water Monitoring u o a O' <br /> Purchase Order Number: U_ uai 3 y c in 5 <br /> u <br /> Quote Number: = > 6m 5- C a <br /> V n F <br /> Sampler(s) E o <br /> TW KA brl ki`fy LSC[ o H z r p O <br /> J Om0 p <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup DatelTime: 16 FOE w <br /> to <br /> -12023 oLab NumberSTKa✓/lL3 u m; <br /> Z <br /> F 046 a [=u <br /> TpledSamp Date Fo <br /> Location DescrcpSampled m O c7 <br /> �2 iz- u. it. U= <br /> 1 Granite#3 it'sD G Sys 1,1,1 7, 3i,fs <br /> 2 Brown's New 13tsp G DW 1.1,1 <br /> 3 South Tracy d3 ...._ 111,4i G DW 1.1.1 . .- <br /> 4 Faulkner V,Gy, G Sys I,I,1 ` � '�11;pi. -4- <br /> 5 Hall ASO G Sys -i— <br /> Remarks: Relinquished Date: Time: Relinquished Dele Time: Relinquished Date: Time: <br /> 5-31-IZ Wit � 61///�2 /724 1+ <br /> ed By:' D e: Time: Re/eked By Date: Time: t ted By: the <br /> Date: Ti : <br /> /1i,2170v <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Field Oflice <br /> 453Coiporauan Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Drive,Suiq D Visalia.Caldomia <br /> Santa Paula.CA 93060 Slockron,CA 95215 Chico.CA 95926 San Ws Obispo.CA 93401 TEL.559,734.9473 <br /> TEL.805/392-2000 TEL 209!942-0182 TEL 530/343-5818 TEL 805(783-2 40 Mmaio 5591737-23 <br /> FA,.�,25-41 I ! .aJ FAX __.&-042_ ,__JAX 5--3807 vJ �(:805 72 __J �J �9173.J �� <br />