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ErmRorimmTALzY z CAIN of <br /> CU <br /> ,� STODY <br /> s MONTHLY Laboratory Copy (1 of 3) <br /> Client : Frank's One Stop Food Mart TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: Frank's One Stop Food Mart <br /> 2072 W. Yosemite Ave. <br /> Manteca, CA 95337 I <br /> 0 <br /> Phone : (209)239-9575 <br /> Fax : (209)239-8552 3-12983 to <br /> W m <br /> ac � <br /> Project Name Bacteriological Sampling y L <br /> Contact person : Frank Guinta m <br /> Purchase Order Number. (a U) <br /> QA/QC report requir Yes o ' d <br /> tU <br /> Sampler(s): Al;l Gl'1 Sr a N <br /> Camp sampler setup Date _/� 0 Time � ' y <br /> N <br /> Rush Results Due By: �/_/ a c <br /> Date Received- <br /> I <br /> v <br /> tp c0 6 <br /> Lab Number: Z �' "' a-& <br /> 0 0 0 4�; <br /> SSP Date Time <br /> d <br /> Num Location/Descrtption Sampled <br /> 1 Spigot a Well House _� y�� G syl 1 <br /> lyc. <br /> Fav <br /> i <br /> Misc. Nates- c"MP d 3"� C- t Relinqu 8y: Date: r Date: Time• Reliiiquished By- Date: Time- <br /> 7Q 7 - /%moD BY' Y STARR Fina! 5nple Dispostian Lab Disposal �JReturned to Received hry: Date: ' GRE}6WQ NV@ime. Receivedh'Y' Date: Time:Meth. of Disposal. Date Ret. /� `'f'^ 1 d /� a C�,•3 <br /> Corporate Ofirces 8 Laboratory Office and Laboratory 1 D Gam" "1 <br /> P 0 Box 272 85' orahor Sire&t Field Office <br /> 2500 Sime Road V,sah fornia <br /> Sante C5)6 CA 272 Stockton C 5 SEP 14 1998 <br /> TLL (805)659 09 TR ora, ,o, TEL 734 9173 <br />