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ENVIRONMENTAL se �,,,,,,a. CHAIN OF CUSTODY <br /> wwwglinc.com Laboratory Copy (1 of 3) _ <br /> iiiiiiiiiiiiiiiiiiiiiililillifiTguffyiz["1 70600:11/05/2012 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client. Lubdorff&Scalnlanini Consulting <br /> Address: Luhdorff&Scalmanini,Consulting Eng. <br /> Ann: Till Angermann <br /> 500 First Street <br /> Woodland,CA 95695 E <br /> 3 <br /> Phone: (530)661-0109 Fax: (530)661-6806 n <br /> a" <br /> Contact Person: Till Angermann V G y <br /> Project Name: Water Monitoringw a` yO <br /> N V <br /> Purchase Order Number. <br /> m <br /> Quote Number: < h $� <br /> Sampler(s)�Jn l�tAkNilAflr^! E m z 00 0 <br /> U : y C ^ C <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Dere:_/_!_ Time: o c v E z ® E F 2 <br /> ti E crn c_N i%i <br /> Lab Number: <br /> STK 3.12023 `o v10+ y^ n R <br /> "amp Location Description Dare Time a, g c 's A,� S vq u u u -Eo <br /> Num Sampled Sampled t-., a m 10 8— '2_. <br /> 1 Granite p3 11-20.42 '►1;Sr G Sys <br /> 2 Brown's New 11'2d-12 11130 G DW 1,1,1 �,�'� ll-0u-12 wx <br /> 3 South Tracy N3 11 2if-12 Ip:]1) G DW I,l,l y� II.2a-tz (0.33 <br /> 4 Faulkner 11-20-12 M4e1 G Sys 0-24-t [1141 j <br /> 5 Hall �1-26-1 13si G Sys l,l,l �•3G t 13,E 1 <br /> Remarks: Relin utshed Date: Time: linquished Date: Time: Relinquished Date: Tim: <br /> k 11-10 <br /> d By: ate:: Time: Received By: <br /> /C/ate: Time: R Dale: Time: <br /> a�!'� lig / ,4k7- i7` <br /> Corporate Offices 8 Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lade 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',8051392-2000 TEL.20919420182 TEL:530/343-5818 TEL 6051783-2940 Mobile 559/737.2399 <br /> FAX:8051525-4172 FAX 2091942-0423 FAX 530/343-3807 FAX 805/525-4172 FAX:5591734-8435 <br /> _ J —J .__1 I 1 l J _J __A _.J I J 1 I D J —.1 J <br />