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Tr-Annual CHAIN OF CUSTODY <br />www.fglinc.com <br />Laboratory Copy (1 of 3) <br /> <br />LNVIRONM NTAI. <br /> <br />:\ (111(:1 <br /> <br />ICE' 11111111101111111 1111 1 1111 33797:06/03/2019 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information J130 <br />Client: Morada Produce WS <br />Address: Morada Produce <br />PO Box 659 <br />Linden, CA. 95236 <br />Phone: (209)546-0426 Fax: (209)546-0427 <br />Contact Person: Skip Foppiano <br />Project Name: Water Quality Monitoring <br />Purchase Order Number: <br />Quote Number: Method of Sampling: Composite(C) Grab(G) Type of Sample **SEE REVERSE SIDE** Non-Potable(NP) Ag Water(AgW) Bacti Type: Other(0) System(SYS)tkaziDt ) Waste(W) Bacti Reason: Routine(ROUT) Repeat(RPrc Replace(RPL) Other(0) Special(SPL) EPA 504.1-DBCP,EDB 40m1(VOA) Metals, Total-AI,Sb,As,Ba,Be,Cd,Cr,Pb.Hg,Ni,Se,Ag,TI,V 250m1(P)-HNO3 a' <br />2' .. <br />E = --- rs. u •-,..i, <br />Is o <br />3 2 Wet Chemistry-NO3-N Soz(P) Sampler(s) <br />A <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: / I Time / <br />Lab Number: STK \ CZ cfAC\ 3-14876 <br />Samp <br />Num Location Description Date <br />Sampled <br />Time <br />Sampled <br />0 Travel Blank Ciloy\ LBW G . fq, <br />I Well #2 1.0 1. G DW VA.. 4 1 I 1 <br />Remarks: R utNied Date: Time: <br />f <br />i 41 0 <br />Id ate <br />Relinquished Date: Time: <br />li) /61 llt77)-- <br />Relinquished Date: Time: <br />0 <br />e iveeV : Time: <br />JI D IM 10 0 <br />atf: Tim • Rece4iv d 14ib <br />1 0/11 li <br />eceived By: Date: Time: <br />/101 A Ai--t, (ph i VOk-1 ) <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory Office 8, Laboratory <br />853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive, Suite D 9415W. Goshen Avenue <br />Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 San Luis Obispo, CA 93401 Visalia, CA 93291 <br />Phone: (805) 392-2000 Phone: (209) 942-0182 Phone: (530) 343-5818 Phone: (805) 783-2940 Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 Fax: (209) 942-0423 Fax: (530) 343-3807 Fax: (805) 783-2912 Fax: (559) 734-8435