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CtWN <br />Weekly OFunamfgCUSTODY <br />Laboratory Copy (1 of 3) <br />Comaa to Offices & Labaratory <br />853 Corporation Street <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: (§M1392-2000 <br />Env FaxW 525-4172 / Ag Fax: (805) 392-2063 <br />Phone: (209) 942-0182 <br />Fax: (209) 942-0423 <br />Ph 530) 343-5818 <br />Fa ) 343-3807 <br />Address: Ruben Ramirez <br />Phone: (559) 7 73 <br />Fax: 734W <br />(559) <br />9999 S. Austin Rd <br />Manteca. CA 95336 <br />Phone: (209)982.4298 Fax: (209)982-1009 <br />Contact Person: Ruben RamirezEll <br />Project Name: Cannery Waste Monitoring <br />Purchase Order Number: Lf <br />1!W <br />ma V <br />12 <br />Quote Number: ST 20140609-01 <br />q y <br />A a <br />A <br />Sampler(s) <br />y y o <br />z <br />z <br />U <br />e aC <br />Q as <br />$9O <br />E- <br />F <br />Sampling Fee: Pickup Fee: <br />o° '= �s <br />fY <br />H H _ <br />A <br />A <br />Compositor Setup Date: _/_!_ Time: <br />0 <br />.5 <br />d <br />Z O x 'SRt, <br />E <br />.0 = � u <br />< " <br />� A N <br />°' <br />U � <br />°' N <br />/�) <br />Lab Number: STK % 3 Sv `� 3-8692 <br />amp Date Time <br />Location Description <br />Num Sampled Sampled <br />P p <br />2 <br />F- 6 m mO <br />3 aAa` <br />3A <br />1 Water- g G G S _,141.41 -1 b <br />C <br />WW <br />2 Mud- g G Cr S a_ et nve <br />C <br />Sig <br />! <br />5 Mud L� p • q� �: oq <br />C <br />Sig <br />6 Residual- L• 9_.t9-IK11j04 <br />C <br />Sld <br />1 <br />8 Mud -i JArv., 19-t-1-14 :®.a, -C <br />Sig <br />i <br />Remarks: Multiple Chains <br />Relinquished Date; Time: <br />�/` D/aaattte: Time: <br />Rel' u' ed Date: Time: <br />This Project has 2 Price Quotes: <br />7wished <br />////, J /-/� <br />`f <br />9 <br />-ST-20140689-61-f <br />i� <br />/// <br />l <br />ST 20140501-01 for Solids <br />gy: Date: Time: <br />9 <br />Received yt Datf: Time: <br />� <br />Receiv Date: Time: <br />lt�0 Y/o <br />1 �� �1� <br />a, i Oro 0 <br />Comaa to Offices & Labaratory <br />853 Corporation Street <br />Office & Laboratory <br />2500 Stagecoach Road <br />Office & LabaratoN <br />563 E. undo <br />Office & 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: (§M1392-2000 <br />Env FaxW 525-4172 / Ag Fax: (805) 392-2063 <br />Phone: (209) 942-0182 <br />Fax: (209) 942-0423 <br />Ph 530) 343-5818 <br />Fa ) 343-3807 <br />Phone: (805) 783-2940 <br />Fax: (805) 783-2912 <br />Phone: (559) 7 73 <br />Fax: 734W <br />(559) <br />