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CCS N OF CRUST( I/ <br /> e AGRICULTURAL Annual �10wafgMENTAL cco �®v�ril <br /> Field Copy (3 of 3 ) <br /> 11111 Fill 11111 1111 36484 : 01 /06/2020 TEST DESCRIPTION - See Reverse side for Container . Preservative and Sampling information <br /> Client: Metal Finishing Solutions , Inc. <br /> Address : Atm . Corey Dehl _ <br /> 1325 El Pinal Drive <br /> Stockton. CA . 95205 <br /> Phone : (925 )872- 1263 Fax : 3 <br /> Contact Person: Corey Dehl w 3Cno <br /> Project Name : Storm Event 1 & 2 V) ¢ B a <br /> Purchase Order Number: W ` d <br /> r� ca � a`ci W 00 <br /> cG - • o <br /> Quote Number : ST 20180619-05 <br /> pa W N <br /> V) O Z Q <br /> Sampler(s) <br /> U Cn Cn � <br /> * o O c c+n W <br /> Sampling Fee : Pickup Fee : °c° <br /> ty o t CG . v N Zv V 'OZ q? °J Qop <br /> Compositor Setup Date : _/_/_ Time : _/_ z O > y O n Q z <br /> Lab Number: STK F d E x E ^ x x H aQ <br /> w <br /> 318181 wa ° O L � �; ° a <br /> U U <br /> F a co w o <br /> p <br /> Samp Date Time a <br /> Location Description M w <br /> rq <br /> Num Sampled Sampled <br /> 1 DPI G STM 1 1 1 1 <br /> 2 DP2 G STM 1 1 1 1 <br /> Remarks : <br /> Relinquished Date : Time : Relinquished Date : Time : Relinquished Date : Time : <br /> MDL REPORTING REQUIRED <br /> Received By : Date : Time : Received By : Date : Time : Received By : Date: Time : <br /> Ooroorate Offices & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E . Lindo 3442 Empresa Drive , Suite D 9415 W. Goshen Avenue <br /> Santa Paula , CA 93060 Stockton , CA 95215 Chico , CA 95926 San Luis Obispo , CA 93401 Visalia , CA 93291 <br /> Phone : (805 ) 392-2000 Phone : (209 ) 942-0182 Phone : (530) 343-5818 Phone : (805 ) 783-2940 Phone : (559 ) 734-9473 <br /> Env Fax: (805) 525-4172 / Ag Fax : (805) 392-2063 Fax: (209 ) 942-0423 Fax: (530 ) 343-3807 Fax : (805) 783-2912 Fax : (559 ) 734-8435 <br />