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Weekly CHAIN OF CUSTODY <br />www <br />Laboratory Copy (1 of 3;ffiffnic <br />com <br />11111111111111111111111111111111111111111111111111111111 IN <br />34981:06/17!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 />Chloo, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (800 392-2000 <br />Env F 525-4172 / Ag Fax: (805) 392-2063 <br />Phone: (209) 942-0182 <br />Fax: (209) 942-0423 <br />P 530) 343-5818 <br />F ) 343-3807 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Address: Ruben Ramirez <br />9999 S. Austin Rd <br />Manteca, CA 95336 <br />Phone: (209)982-4298 Fax: (209)982-1009 <br />3 <br />Contact Person: Ruben Ramirez <br />* a <br />Project Name:Cannery Waste Monitoring <br />W <br />Purchase Order Number: <br />u1 c <br />u <br />Quote Number: ST 20140609-01 <br />w <br />> st; N <br />�J <br />01 <br />Sampler(s) V p*l 4r�:�r <br />E w z <br />U +� a: <br />O <br />z <br />8 <br />Sampling <br />C <br />a <br />0" <br />N <br />Fee: Pickup Fee: <br />c <br />A A <br />Compositor Setup Date: _/_!� Time: !� <br />E 2 Z A <br />UM) E <br />o h a $ <br />a rn <br />cx <br />.53 —'' $ :: <br />E E <br />Lab Number: STK 9� 3-8692 <br />p 3i 15 <br />g c <br />'� 6 <br />r <br />AO 0 c <br />Samp <br />' 'on Date Time <br />Location Desc <br />Num Sampled Sampled <br />I E• Q <br />as p <br />3 m goo <br />1 Water- SX A B III -;w 0130 <br />C I WW <br />2 Mud- C 515 c- A O'D30 <br />C Sig <br />! <br />3 Residual- C55C R 1210 <br />C Sid <br />l <br />5 Mud- `7C? A30 <br />C Sig <br />1 <br />6 Residual- Pc? <br />C Sid <br />1 <br />C WW <br />8 Mud-Gi I ® h M56C <br />Sig <br />1 <br />C Sid <br />Remarks: Multiple Chains <br />Relinquished Date: Time: <br />Re ' shed D te: Time: Relinquished Date: Time: <br />This Project has 2 Price Quotes: <br />�`/� !� <br />,� !T <br />ST 20140609-0I for Water <br />7't1-Qb cJ <br />/ <br />ST 20140501-01 for Solids <br />yed By: Date: Time: <br />- // <br />Da : Time: <br />Received By: at : Time: Received By:AtAiq <br />7 j/� <br />/,,-//,1/5 <br />!' /L lq u). <br />Comorate Ojf(m & Laboratory <br />853 Corporation Street <br />Qfflce & Laboratory <br />2500 Stagecoach Road <br />Qiltee & L.aboratory <br />563 E. Lando <br />3442 Empresa Driv , Suite D <br />Office & Laboratory <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chloo, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (800 392-2000 <br />Env F 525-4172 / Ag Fax: (805) 392-2063 <br />Phone: (209) 942-0182 <br />Fax: (209) 942-0423 <br />P 530) 343-5818 <br />F ) 343-3807 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Phone: (559) 7 473 <br />Fax: (559) 7 <br />