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op Remarks: — <br />C,, z r4 <br />g -5 ILab Number: Sampler(s) e 6rothe r5 Sampling Fee: Pickup Fee: Compositor Setup Date: _/_/_ Time: / Client: Fruit Growers Laboratory, inc. Address: FGL Environmental, Inc. 853 Corporation St. Santa Paula, CA 93060-3005 Phone: Fax: Contact Person: Project Name: / - (3-18039) Purchase Order Number: Quote Number: t'.3J <br />V R Location Description ----__ <br />ss.-.. --,....._ <br />--.1 Date I Sampled Ci‘ <br />'-3 <br />Cti Received By: i //Date: Time: ,e) MI17 No Relinquished pate: Time: YAM /7',':, <br />0 Method of Sampling: Composite(C) Grab(G) 35866:08/07/2017 1 0 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 />I ---) / , , <br />— <br />EPA 508- Pesticides' <br />1000m1(AGT) TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information , , / Received By: Date: Time( Relinquished Date: Time: -, <br />--.:-.--. <br />it. --, • • Rinquished ff.l Date: Time: /.._. co