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co <br />CD <br />CD <br />?zp) <br />,: , x-. , <br />- , cn <br />E-r.-1 !Lab Number: Client: Fruit Growers Laboratory, Inc. Address: FGL Environmental, Inc. 853 Corporation St. Santa Paula, CA 93060-3005 Phone: Fax: Contact Person: Project Name: //SOO/9 - (3-18039) Purchase Order Number: -'uote Number: Sampler(s) kJ/2, bother-,5 Sampling Fee: Pickup Fee: Compositor Setup Date: / / Time: / a <br />MI <br />[ <br />o <br />- Location Description css --.....,,, <br />ZiS <br />--A Date Sampled ••Zt.,, <br />Orll Tune Sampled Received By:/pate: Time: 198/0 /160 Reluished /ate: Time: 0/4 /7o0 c) Method of Sampling: Composite(C) Grab(G) <br />t...) <br />:A co a <br />? a op <br />2 <br />1-,5 a ,-, <br />3 Type of Sample **SEE REVERSE SIDE** <br />Potable(P) Non-Potable(NP) Ag Water(AgW) <br />Bacti Type: Other(0) System(SYS) Source(SR) Waste(W) <br />Bacti Reason: Routine(ROUT) Repeat(RPT) Replace(RPL) <br />Other(0) Special(SPL) <br />— <br />EPA 508 - Pesticides <br />1000m1(AGT) TEST DESCRIPTION - See Reverse side for Container. Preservative and Sampling information Received By:Time: /A/1 G/V•If°7/( 7 °e'' <br />z <br />C. <br />2 <br />57 <br />.--. <br />P Received By: Date: Time: Relinquished Date: Time: Ss\ \