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Weekly CHAIN OF CUSTODY <br />Laboratory Copy (1 of 3) <br />111111111H11111111 1 <br />34981:09/02/2014 <br />TEST DESCRIPTION See Reverse side for Container, Preservative and Sampling information <br />Client: Forward Inc. <br />ComoMte Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Qffice 8 Laboratory <br />563 E. Undo <br />3442 Empresa Drive, Sulte D <br />Office R Laboratory <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />Address: Ruben Ramirez <br />Visalia, CA 93291 <br />Phone: 392-2000 <br />Env F ) 525-4172 / Ag Fax: (805) 392-2063 <br />Phone: (209) 942-0182 <br />Fax: (209) 942-0423 <br />Ph 530) 343-5818 <br />Fall) 343-3807 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Phone: (559) 73 <br />Fax: (559) 7 <br />9999 S. Austin Rd <br />°a1 <br />Manteca, CA 95336 <br />Phone: (209)9824298 Fax: (209)982-1009 <br />3 <br />Contact Person: Ruben Ramirez <br />aC <br />w h <br />Project Name: <br />j Cannery Waste Monitoring <br />a y : <br />Purchase Order Number: y$ ® 8 5-1 B <br />O W <br />w y <br />Quote Number: ST 20140609-01 <br />cwtp <br />a4 Q to <br />' <br />O N A <br />m o rb <br />Sampler(s) �VKZ <br />w z �, o <br />z z <br />' <br />'g .l <br />aG <br />Sampling Fee: Pickup Fee: <br />A A <br />Compositor Setup Date: ,!_/_ Time: <br />Z O C <br />o w i% o y <br />jy A o <br />u < u <br />Lab Number: STK 3-8692 <br />$ 0 •— v <br />O <br />U A N U 67 <br />$ <br />amp Date Time <br />Location Description <br />Num Sampled Sampled <br />h a p$ <br />3 m 30°0 <br />1 Water- GSSC_ .t — r3o4 <br />C WW <br />2 Mud- e. $SL., r• 9 o <br />C Sig <br />1 <br />5 Mud- i• Q 11-1`l p; 3o <br />C Sig <br />i <br />6 Residual- �. qel� 8:3a <br />C Sid <br />1 <br />8 Mud- G; l�-o,.► 1 $- 3r� <br />C Sig <br />1 <br />9 Residual- <br />Sid <br />Remarks: Multiple Chains <br />This Project has 2 Price <br />Re ' wished Date: Time: Relinquished ate: Time: Date: Time: <br />/q <br />Quotes: <br />p //// V) <br />ST 20140609701 for Water <br />4o <br />ST 20140501-01 for Solids <br />d 8y: D te: Time: Received B Dat Time: D e: im <br />O <br />- Z 4 _ <br />ComoMte Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Qffice 8 Laboratory <br />563 E. Undo <br />3442 Empresa Drive, Sulte D <br />Office R 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: 392-2000 <br />Env F ) 525-4172 / Ag Fax: (805) 392-2063 <br />Phone: (209) 942-0182 <br />Fax: (209) 942-0423 <br />Ph 530) 343-5818 <br />Fall) 343-3807 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Phone: (559) 73 <br />Fax: (559) 7 <br />