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ENVIRONMENTAL HAIN OF CUSTODY <br /> MONTIMY Laboratory Copy (I of 3) <br /> Client Lionudakis Wood & Green Waste Recycling TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address: Lionudakis Wood & Green Waste Recycling <br /> 25071 E. Jones Road <br /> c <br /> Escalo1, CA 95320 °V <br /> C. <br /> Phone : (209)982-4936: <br /> Fax : (209)982-4937: 3-13298 z f0 <br /> d <br /> h <br /> Project Name : Compost Testing Lu <br /> UJ I - <br /> Contact person : Loren Jessup - w <br /> Purchase Order Number: <br /> QA/QC report required: Yes No U # w <br /> .a U <br /> ate+ U L <br /> Sampler(s): &I4a0 a a_ <br /> Camp sampler setup Date:_/_/_ Time:—:— <br /> Rush <br /> ime:_ _Rush Results Due By: <br /> Date Received: o N <br /> �3d�3 <br /> 4- <br /> Lab Number: 0 0 0 L. <br /> `� +% s a+ w <br /> Samp Date Time ' a m m Y a°'i U <br /> Num Location/Description Sampled Sampled lit' ,_ ., 3 H <br /> 1 Finished Compost _ — / G St 1 1 1 <br /> Misc. Notes: Relinqui d By: Date: Time: Relinquished By: Date: Time: Rel'nquished By: Date: Time: <br /> Final Sample Dispostion: <br /> Lab Dis sal: Returned to Client Received by: Date: Time: R ived by: Date: Time: R eived by: Dat Time: <br /> Po -1�- q J// <br /> Meth. of Disposal: Date Ret. �_f_ 2— ib'.IN k <br /> 1) P J <br /> Corporate Offices&Laboratory Office&Laboratory Field Office <br /> P.O.Box 272/853 Corporation Street 2500 Stagecoach Road Visalia,California <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 p�p r� 1 q[��(] TEL:(559)734-9473 <br /> TEL: (805)659-0910 TEL: (209)942-0181 MAR 1 !7 7 Mobile:(559)737-2399 <br /> FAX, (805)525-4172 FAX: (209)942-0423 FAX:(559)734-8435 <br />