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ENVIRONMENTALQ a�terl� CHAIN OF CUSTODY <br /> www.Fglfnc. 0M Laboratory C (i of 3) <br /> 33273:1VON2010 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampl ..'laCattn Mon <br /> Client: Musca Family 00ye EnvironmenW <br /> Address: 17950 Via Nicolo <br /> Tracy,CA 95377 <br /> Phone: 6-4600 ext 371 Fax: 6.0853 <br /> (2093 (209)63 a <br /> Contact Person: My Hegmmn <br /> Pmject name: Leach Line Monitoring 9 <br /> Purchase Order Number: w a <br /> Quote Number: <br /> a <br /> � y q . <br /> z <br /> Scrupling Fee: Pickup Fee: � � � �� <br /> Compositor Setup Dace _I 1� Time I x c 1 z <br /> Lab Number. SFS ! u 513-115"4 0 <br /> Num Location Description Dow Thne <br /> Sampled Sampled <br /> 1 L-! Ig-g-10 Wfe 0 WW L 1,1,1,1 2 <br /> 2 L2 j13 13 11.1.1,1 2 <br /> 3 L-3 f��y G ww 1 1.1,1,1 2 <br /> Remarks �- Relinquished Dam: Time: Relh19uished Date: Time: Relinquished Time: <br /> Ak- `dd r'l�Q r T`o C ham-g.� y 11 -11-1{� <br /> I ,a <br /> 0 Ant, <br /> Received By: Date: Time: heteived By: Date, Time: Received By: Date: Time:' <br /> �Z 1 bD '711710 /70T) <br /> + Ca Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue f��1� Visalia,CoRkwnia <br /> Santa Paula,CA 93080 Stockton.CA 95215 Chico,CA 95928 /�1� TEL:5M34-9473 <br /> TEL 8051392-2000 TEL 2D9/942-0182 TEL:530/343.5818 r a�- Mobile:559fr37-2399 <br /> FAX:80SW54172 FAX:2091942-0423 FAX 5301343-3807 FAX 559UM-8435 <br />