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11-7 <br />ENVIRONMLIYFAI. ACJIICUI:11;IY11. <br />Analytic:11 (Tii,:nusti, <br />www.fglinc.corn CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />Client: Simplot Growers Solution <br />Customer Number: 3014814 <br />Address: 4883 Carpenter Rd <br />Stockton. CA 95215 <br />Phone (209)461-6565 Fax: (209)461-6569 <br />Email Address: paul.parisesesimplotcom <br />Contact Person: Paul Parises <br />Project Name: tAxt-ti2,- <br />Purchase Order Number <br />Quote Number: <br />Lab Number: I axmo1 TEST DESCRIPTION AND ANALYSES REQUESTED <br />- Method of Sampling: Composite (C) Grab (G) INumber of Contalnem IType of Containers: (0)Glass (P)Plastic (V)VOA(MT)Metal Tube i <br />a <br />I <br />S <br />1 <br />g.. <br />ci: <br />gg <br />3 g, <br />it <br />11 <br />...,1- <br />g g <br />2 <br /> -.": <br />71.7 <br />a <br />d <br />g <br />i. ElacT. (Sys) System (SRC) Soave (W) Waste Bea: (ROUT)Routne (RPT, )Repeat (OTH)Other (FtPL)Replace (LT) Leaf llasue (PET) Petiole Tissue (PRO) Produce Preservative: (1) NaOH • ZnAc. (2) NaOH, (3) HCI (4) H2804, (5) HNO3, (8) Na2S203. (7) Other pH Total Phosphorus E <br />2 -0 o in <br />, El Rush Analysis: <br />Rush pre <br />Sectronic <br />in 5 Day D 4 Day 3 Day 2 Day <br />-approval by lab (inials): <br />24 hour <br />Data Transfer: No State Dciient Other: <br />Sampler(s): <br />Sampling <br />Compositor <br />------. <br />JOV‘i• ‘-.--,-tl.en C2013) S67- 262.7 <br />:31)‘A,^ • ecae-rt 0 c‘.0-ydr. Cods" <br />Fee: Pickup Fee: <br />Setup Date: Time: <br />Samp <br />Num <br />Location Description Date <br />Sampled <br />Tine <br />Sampled <br />1 D'ercs\--k • 61/Z Oh / i :45-fm 1 G S X X X <br />2 0,3121 i:zzw, 1 G S X X X tYri-ch • ce4tfcl <br />3 Urt-c-N^ - Wes.x- i .4ftvi 1 G S X X X <br />4 Fat- (,..)e->T" <br />6, ) <br />6be 2/ I :35-Nv 1 G s x x x <br />A-Pel 6.(2c3/21 /4'7 Pius 1 G S X X X <br />6 TO %,./.2r \-'d 1 € b/zeizd, /-'5-Sn'i I G S X X X <br />IReirrna'17t j0 /Y re*-05 i Relinquish Date: Tine: Rgiiienk:shed Date: Time: Relinquished Daft: Tine: <br />olf14 <br />. 1 11.1-....11°. . "A) (1'") Pri 20 z tier nA..._, ce A,.......- , a A) <br />.• -. . By: ,e. Time: <br />iff tZl-ifav?1 <br />Received By: / Date] Tine: 4 ti3 it= I /10C <br />Received By: Date: Tine: <br />(PAK (iip in cOt) <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93080 <br />TEL: (805)392-2000 <br />Env FAX: (805)525-4172 / Ag FAX: (805)392-2063 <br />CA ELAP Certification No.1573 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: (209)942-0182 <br />FAX: (209)942-0423 <br />CA ELAP Certification No. 1563 <br />Offitio & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL (530)343-5818 <br />FAX: (530)343-3807 <br />CA ELAP Certification No. 2670 <br />Office & Laboratory <br />3442 Empresa Drive. Suite D <br />San Luis Obispo, CA 93401 <br />TEL: (805)783-2940 <br />FAX: (805)783-2912 <br />CA ELAP Certification No. 2775 <br />Office & Laboratory <br />9415W. Goshen Avenue <br />Visalia, CA 93291 <br />TEL: (559)734-9473 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 2810