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ENVIRONMENTAL wwwt�`g/inc corn CHAIN OF CUSTODY <br /> Laboratory CoDy (1 of ) <br /> 111111 11f11 11111111111111111111111 30525:01/05/:009 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: Valley Industries <br /> Address: Atm: Fred Baumbach <br /> 1313 South Stockton Street <br /> Lodi,CA 95240 3 <br /> a47 <br /> Phone: (209)368-8881:ext.244 Fax: (209)369-8675 <br /> n <br /> Contact Person: Feed-Ra"n Melt {11nI��W1� C ( • <br /> Pro ec ew/a�ter Mqonitoringp <br /> rchase Order Number: % �! 7/ O eg N <br /> y A <br /> Quote um r: V m 3 ina a v <br /> Q5. a a <br /> Sampler(s) Daw4 u' Sioc-R o _ z <br /> Bpi" Gve� E ce <br /> Sampling Fee: Pickup Fee: 6bF , <br /> Compositor Setup Date: /_/_ Time: / m o c a y U ¢0 9. e <br /> Lab Number. STK 33/3 3-11146 o h y <br /> 5 _ HO F <br /> ti m a U m.-, a0 ha F 5 E TZ <br /> 0 0 = F 1 > <br /> Samp Date Time Z ^+ 'M u <br /> wW fV w oNE <br /> Num Location Description Sampled Sampled �" lT Ov Na a <br /> plp_SND R1 — F— WE$� <br /> '{ G W W 2 1 1 1 <br /> a <br /> Remarks: Relinquished Date: Time: Relinquished Da Time: lin Date: Time: <br /> �z Y45, �/ 7' /700 <br /> RedFry y. paTime: Received By: �gate/d�j �Time; y: <br /> Corporate Offices 8 Laboratory Office&Labo atory 9t11cs-ILLWbotatory Field Office <br /> 853 Corporation Street 2500 Stagecoach Read 563 East Linde Avenue Visalia,California <br /> Santa Paula,CA 93060 Chico,CA 95926 TEL:(559)734-9473 <br /> TEL: (805)392-2000 TEL: (209 942-0182 TEL: (530)343-5818 Mobile:(559)737-2399 <br /> FAX: (805)525-4172 9 FAX: (530)343-3807 FAX:(559)734-8435 <br />