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a�= ENVIRONMENTAL Quarterly CHAIN OF CUSTODY <br /> www.`glinc.com Laboratory Copy (1 of 3) <br /> 33273:08/01/2012 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client. Musco Family Olive Environmental <br /> Address: Aun:Amanda Devlin <br /> 17950 Via Nicolo j <br /> Tracy,CA 95377 <br /> v <br /> Phone: (209)836-4600 Fax: (209)836-0853 3 c <br /> Contact Person: Amanda Devlin : z a <br /> Project Name: Leach Line Monitoring U v <br /> Purchase Order Number: L7 ou ,a`? ti y a <br /> a "a <br /> Quote Number: U W 3 in F a0 <br /> a < y r2 Z a <br /> Sampler(s) ,(1 I <br /> ,4 x <br /> I00"Ii-'�Lt sd;2. 1,r1 Ew zZi <br /> 1 v z xm 2 <br /> U ♦ u `� e4'. O N O <br /> Sampling Fee: Pickup Fee: 5 a°I OY N M <br /> Compositor Serup Date:_/_/_ Time:_/_ E u c cG A m c ii <br /> Oc ew N ZOv E p2 <br /> 3-11544 oLab Number: STK farl .. aeN <br /> o °uvm <br /> n°0 <br /> p Date Time <br /> 9 V <br /> Num Location Description v mo eeo <br /> aNo <br /> a 'ME Sampled m <br /> �9 l-< 3 h M <br /> 1 L-1 G WW ilf 1 1.1.1,1 2 <br /> 2 G2 zZ(l..lz .rv( G WW p; 1 1.1.1.1 2 _ <br /> 3 L-3Z, ^,i r7jzl G WW I,1,I,1 2 �— <br /> Remarks: Relinquished Date: Time: ell uished Date: Time: Relinquished Date: Time: <br /> d/ <br /> I;La l'? fur,C; -u t✓ /IBJ �/� /7c'O <br /> R ved B' Date: Time: R y: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office 8 Laboratory Office&Laboratory Offi e r t n I HOW Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linen Avenue a�'G I Visalia,California <br /> Santa Paula.CA93060 Stockton,CA 95215 Chico,CA 95926 Sa :,i's b 93 of q� 1\ TEL:559/734-9473 <br /> TEL 8051392-2000 TEL 2091942-0162 TEL 530;343.5818 TEL 1\t` U Mobile'.5591737-2399 <br /> FAX 805/525.4172 FAX 2091942-0423 FAX 530!343-3807 11U FAX'.550/734.8435 <br />