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wy C OF CUs Y <br />www.fgHnc.com <br />Laboratory Copy (1 of 3) <br />JM1111 1111111 IN 111111111111111111111111111111 IN <br />34981:09/02/2014 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: Forward Inc. <br />Office Laboratory <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Address: Ruben Ramirez <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 />9999 S. Austin Rd <br />Manteca. CA 95336 <br />Phone: (209)982.4298 Fax: (209)982-1009 <br />N V <br />3 a <br />Contact Person: Ruben Ramirez <br />va h a <br />Project Name: Cannery Waste Monitoring <br />v <br />y <br />Purchase Order Number: iS 8 CJ g <br />�y <br />I <br />g <br />Quote Number: ST 20140609-01 <br />w � in <br />Q r's; <br />� <br />q a <br />pO <br />Sampler(s) �iba.�,_ aril�lt�a.Z <br />a^ <br />i9 ga <br />F <br />F <br />Sampling Fee: Pickup Fee: <br />'0.; � <br />�n <br />`^r" x <br />G <br />Compositor Setup Date: _l—I— Time: <br />Z O <br />H <br />0 a _ <br />t9 <br />H <br />E <br />Lab Number: STK % 3-8692 <br />✓Q <br />0 u F O <br />Y <br />p .au <br />c n r,, <br />a t^y <br />U qN <br />s - <br />U t7 <br />Samp Location Description Date Time <br />Num Sampled Sampled <br />g E. a m as O <br />3 ca — <br />300 <br />I Water- 3C CGS -- 4)4.t `i: o <br />C WW <br />2 Mud- 3 L `S ,� _ IK : ®a <br />C Sig <br />! <br />5 Mud- c., ® q I` ®p C Sig <br />1 <br />6 Residual- �• 9.- y-i'tIri 04 C Sid <br />1 <br />8 Mud- 11-, C Sig <br />1 <br />idual <br />Remarks: Multiple Chains Relinquished Date: Time: <br />wished D e: Time: <br />Rel' u' ed Date: Time: <br />This Project has 2 Price Quotes: <br />,�'/ <br />®�'7 i.� j -7o-7— <br />v <br />& <br />.ST -30140609 81 f <br />ST 20140501-01 for Solids gy;r/ Date: Time: <br />V"/.,w <br />Received y <br />ky /Daly: Time: <br />�719YI <br />Receiv Date: Time: <br />01 <br />&o Y,® <br /># �� <br />a 1 ob io <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Offlce 8, Laboratory <br />563 E. Undo <br />Office 8 Laboratory <br />3442 Empresa Drive, Suite D <br />Office Laboratory <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, 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 />