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ENVIRONMENTAL Quarterly CHAIN OF CUSTODY <br /> www.fglinc.com Laboratory Copy (1 of 3) - <br /> 33273:02/06/2013 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Masco Family Olive Environmental <br /> Address: Ann:Amanda Devlin <br /> 17950 Via Nicolo <br /> Tracy,CA 95377 <br /> Phone: (209)836-4600 Fax: (209)836-0853 3 c <br /> Contact Person: Amanda Devlin ; ix J <br /> C7 W <br /> Project Name: Leach Line Monitoring <br /> C7 W �? <br /> Purchase Order Number: o� � o <br /> Quote Number: U w 3 r;, c IQ. °O <br /> 00 a z a <br /> a <br /> Sampler(s) E v <br /> in a a z �4 N <br /> Cn <br /> U v to O ri <br /> a4 O v <br /> R .a z O <br /> Sampling Fee: Pickup Fee: AO ;x c <br /> Compositor Setup Date:_/ ! Time: / u o r a° , °� c a <br /> -- E z o a z a N x <br /> 133 4 o ti <br /> Lab Number: STK Z (/ 3-11544 o rn a a q E ti <br /> Samp Date Time 0 cc E 3 aovLocation Description � o 0oNum Sampled Sampled :EO zN — <br /> E <br /> = 0 r <br /> I L-1 C '�„)- G W W I I,1,1,I 2 --k— Sub-1- <br /> 2 L-2 <br /> 3 L-3 )IIS' G WW 1 1,1,1,1 2 "— --1 <br /> Remarks: Relinquished Date: Time: Relinquish d Date: Time: R uished - Date- Time: <br /> j 13 5- / 1-3 <br /> Received <br /> Received By: Date: Time: 114. d By: Da Time: Received By: Date: Time: <br /> � <br /> 3-a,-, 13OO z�� l 3 /3561 /--�i1i-3- /70 <br /> Corporate Offices&Laboratory Office 8 Laboratory Office&Laboratory Office&Laborato �� i Office <br /> 853 Corporatron Street 2500 Stagecoach Road 563 E.Lindo Avenue 3442 Empresa Dri11$W <br /> Visalia,California <br /> Santa Paula,r.A 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,C EL 5.59/734-9473 <br /> TEL:805/392-2000 TEL:209!942-0182 TEL:530/343-5818 TEL:8051783-29. (Jtobile:5591737-2399 <br /> FAX:805/525-4172 FAX:209/942-0423 FAX:530/343-3807 FAX:805/525-4172 FAX:559!734-8435 <br />