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CLIENT DETAILS: <br />Client: ME Environmental <br />Address: 853 Corporation Street <br />Santa Paula, CA 93060 <br />Phone: (805) 392-2000 Fax: (805) 525-4172 <br />Project: STK2130718 (3014814) <br /> <br />Contact Person: Cindy Aguirre <br /> <br />Pacific Agricultural Laboratory, LLC <br />Subcontract Chain of Custody <br />00 / <br />ENVIRONMENTAI ""''' It 'RN( <br /> <br />REPORT INFORMATION: <br />Rush Analysis: 05 days 04 days 03 days 02 days 024 hours <br />Electronic Data Transfer: No <br />If yes, To: State Client Other <br />REMARKS: Sent From FGL Lab ST Type of Sampling: Composite(C) Grab(G) Number of Containers Type of Containers: (G( Glass (Pi Plastic (V) VOA (MT) Metals Tube . .c, <br />,4 a. <br />,- <br />_ 0.. z — <br />.c <br />s, <br />.._. .T_ — (SW) Surface Water (MW) Monitoring Well (Gw) Ground Water (TB) Travel Blank OM) Waste Water (DW ) Drinking Water ( S ) Soil (SW) Sludge (SLD) Solid (0) Oil , BacT Type Reason Preservative: ( I ) NaOH + ZnAc (2) NaOH (3) 1-ICI (4) E12SO4 (5) 11NO3 (6) Na2S203 (7) Other ANALYSIS REQUESTED Sub Contracted - Glyphosate I 8 .. 0. <br />0 <br />1 C c <br />.0 J <br />0 Sub Contracted - Glyphosate Sample Condition: Received Intact (I TLeaking (B) Broken (HS) Ilead.space Temp: Ambient Chilled Actual__ Custody Seals (11(N) of coolers: 01 check SAMPLING: <br />Sampler(s) <br />Jim Chapin <br />Sample <br />Number I _neat ion/I keseri plioil <br />, <br />Date <br />Sampled <br />Time <br />Sampled <br />1 #1 ; / 003 / — 0 / 1/13/21 0000 G X <br />2 #2 A — 'C' 1/13/21 0000 G X <br />3 #3 si — 02 1113/21 0000 G X <br />CUSTODY: <br />Relinquished by: _ <br />Received by: <br />, <br />Date: 1 I Time: t --A- Relinquished by: <br /> Date: 1 1:5 Time: Received by: <br />Date: <br />Date/,20. 'Fime:_tpC)73_ <br />