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We CHAIN OF CUS Y <br />Y wumfgUnc.com <br />Laboratory Copy (1 of 3) <br />I . 111 .. 1 111111111111111 IN <br />34981:09/02/2014 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Client: Forward Inc. <br />Office & LabnratorY <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93080 <br />Stockton, CA 95215 <br />Chico, CA 95925 <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) 7349473 <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) 7348435 <br />9999 S. Austin Rd <br />a <br />Manteca. CA 95336 <br />Phone: (209)982-4298 Fax: (209)982-1009 <br />3 0 <br />Contact Person: Ruben Ramirez <br />a <br />H <br />Project Name: Cannery Waste Monitoring <br />G <br />at 5c <br />y @ <br />e <br />Purchase Order Number: 100 W'S p <br />B <br />l <br />3 <br />Quote Number: ST 20140609-01 <br />$ <br />o, <br />6 <br />as - <br />Sampler(s) RuID st �Y't Z� <br />Z <br />V <br />Z <br />U <br />s w <br />to a„ <br />S <br />Sampling Fee: Pickup Fee: <br />n°. <br />V <br />Compositor Setup Date: _//_/_ Time: <br />yE <br />o <br />°O <br />`EA <br />�E 2 E <br />Eso <br />Lab Number: STK /✓ OW 3-8692 <br />O <br />amp Date Time <br />Location Description Sampled Sampled <br />$ <br />m p <br />3 3 <br />Num <br />1= <br />eg <br />1 Water- s LG$ .r Z.;o <br />C <br />WW <br />1,1,1 <br />2 Mud- g C. G$ '711-a <br />C <br />Sig <br />1 <br />ftelotnti- <br />5 Mud- L. q-(ff-I•( l:2o C <br />Sig <br />1 <br />6 Residual- C <br />Sid <br />1 <br />8 Mud- C; , O C <br />Sig <br />1 <br />a r - <br />Remarks: Multiple Chains Relinquished Date: Time: <br />Rel* fished Date: Time: <br />Relinquished Date: Time: <br />This Project has 2 Price Quotes: <br />ST 014A6A9 01 for WateF1 <br />�8 /. f 17Q6 <br />vw <br />ST 20140501-01 for Solids Receiv y: te: Time: <br />Received D te: Time: <br />Received By: Date: Time: <br />Cotnorate Offices & Laboratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />OffMe & Laboratory <br />583 E. Undo <br />office & Labondoty <br />3442 Empresa Drive, Suite D <br />Office & LabnratorY <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93080 <br />Stockton, CA 95215 <br />Chico, CA 95925 <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) 7349473 <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) 7348435 <br />