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CHEMISTRY MICROBIOLOGY - FOOD SAFETY • MOBILE LABORATORIES <br />FOOD COSMETICS • WATER • SOIL • SOIL VAPOR • WASTES <br />CASE NARRATIVE <br />Authorized Signature Name / Title (print) <br />Page 1 of 5 <br />A & R Laboratories <br />Formerly tbficrobac Sotahern California <br />FDA# 2030513 <br />1401 RESEARCH PARK DRIVE, SUITE 100 <br />Laboratory Job No. (Certificate of Analysis No.) <br />LA City# 10261 <br />RIVERSIDE CA, 92507 <br />ELAN's 2789 <br />951-779-0310 FAX 951-779-0344 <br />UNIFIED GROCIERS, STOCKTON <br />2790 <br />2122 <br />www.ariaboratories.com office@arlaboratories.com <br />05/01/12 To 05/01/12 <br />CHEMISTRY MICROBIOLOGY - FOOD SAFETY • MOBILE LABORATORIES <br />FOOD COSMETICS • WATER • SOIL • SOIL VAPOR • WASTES <br />CASE NARRATIVE <br />Authorized Signature Name / Title (print) <br />Ken Zheng, President <br />Signature / Date <br />05"°M1291." <br />Laboratory Job No. (Certificate of Analysis No.) <br />1205-00005 <br />Project Name / No. <br />UNIFIED GROCIERS, STOCKTON <br />Dates Sampled (from/to) <br />05/01/12 To 05/01/12 <br />Dates Received (from/to) <br />05/01/12 To 05/01/12 <br />Dates Reported (from/to) <br />05/10/12 To 5/10/2012 <br />Chains of Custody Received <br />Yes <br />[Comments: <br />Subcontracting <br />Organic Analyses <br />No analyses subcontracted <br />HECEII/E <br />Inorganic Analyses <br />No analyses sub -contracted <br />MAY 2 2 2014 <br />Other Analyses <br />1 EPA 2000.0 sample(s) reported by technician AQL were contracted to AQUATIC TESTING LABS <br />ENVIRONMENTAL <br />HEALTH <br />All results for subcontracted analyses may be sent separately <br />DEPARTMEW <br />Sample Condition(s) <br />All samples intact <br />Positive Results (Organic Compounds) <br />Sample Analyte Result Quai Units <br />RL <br />Sample Analyte <br />Result Qual Units RL <br />C1AftIFIER 1,I,47ruredryr6ervme 31 POA <br />1.3 <br />CLARIFIER 1,3,54timetWbemene L7 P91L 1.3 <br />CLARIFIER 2-8utar (MEI) 35 P9/L <br />25 <br />CLARIFIER 4-IsopmmWuem 3.0 09/L 1.3 <br />CLARIFIER 4-MeN/F2-PURarwrc 27 V9/L <br />13 <br />CLARIFIER Acdo <br />430 P9/L 250 <br />(M0q <br />CLARIFIER C13 -a210.3 M9A <br />0.4o <br />CLARIFIER Eftbmerw <br />3.4 Pg/L 1.7 <br />CLARIFIER GasolYrc (C4 -C12) 560 P9A <br />250 <br />CLARIFIER Npwwl m <br />18 P9X 1.3 <br />CLARIFIER Tdra7re 3.9 V9A <br />1.3 <br />CLARIFIER m,p-Xy=nes <br />14 PWL 2.5 <br />C ARVMR o-%ykne 5.5 Pg/L <br />IJ <br />Tim data and Wormatlon on this, aid 0&4r ao:omPaiNirg documents, reprecatt only the samples) am ymd and Is radered upon condalon <br />UW R Is not to be repmdwad, whdly or in part, for ad atKirg or other purposes without approval from the laboratory. <br />USDA -EPA -NIOSH Td.Unp Food SankbWo Corou" CMmlol and MkroMoloplsal Analyse and R -0—h <br />