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CHAIN OF CU Y <br />WAY wwu�gllncxom <br />Laboratory Copy (1 of 3 <br />I IIIIIIII III 111111111111111111111111111111111111111111111 <br />34981:06/17/2014 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: Forward Inc. <br />�Ce & LAbomJg[ V <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chitty, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Address: Ruben Ramirez <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />9999 S. Austin Rd <br />3 <br />Manteca, CA 95336 <br />Phone: (209)982-4298 Fax: (209)982-1009 <br />3 <br />Contact Person: Ruben Ramirez <br />w <br />Project Name: <br />J� C8ri11CTy Waste MODItOrlllg <br />fa <br />Purchase Order Number: <br />O <br />y <br />Quote Number: ST 20140609-01 <br />> <br />A a A <br />N p <br />Samplers) 11 �1 <br />Z <br />N <br />O <br />u <br />a 9t <br />vTi <br />e fl <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date:/s/_ Time: <br />E <br />Z <br />O <br />____/_ <br />" <br />`o <br />E <br />h IZ <br />e <br />'$ <br />�, < ": E <br />Lab Number: STK / 9 3-8692 <br />p2, <br />,g <br />o <br />N <br />SampLocation Desc ' 'on Date Time <br />Sampled Sampled <br />S <br />a. cu <br />u <br />at <br />Num <br />t— a <br />O <br />3 m <br />I Water- �'sx �. 1'�6 08 O <br />C <br />WW <br />2 Mud- C 51tp G A <br />C <br />Sig <br />1 <br />3 Residual- e35C R l a <br />C <br />Sid <br />1 <br />5 Mud- <br />C <br />Sig <br />! <br />6 Residual- PCt' tt <br />C <br />Sid <br />1 <br />� Water <br />C <br />WW <br />8 Mud- C <br />C <br />Sig <br />1 <br />C <br />Sid <br />Remarks: Multiple Chains <br />Relinquished Date: Time: <br />Relinauished D te: Time: Relinquished Date: Time: <br />This Project has 2 Price Quotes: <br />5 <br />7�l ��� <br />ST 20140609-01 for Water <br />R ved By: Date:. Time: <br />Received By: at : Time: Received By:Dat : Time: 11, <br />ST 20140501-01 for Solids <br />CoMRmt@ QMM & LabomtonE <br />853 Corporation Street <br />QM22 & Laboratoof <br />2500 Stagecoach Road <br />010 & Laboratory <br />563 E. Undo <br />3442 Empresa Driv , Suite D <br />�Ce & LAbomJg[ V <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chitty, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: (530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />