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M 2THAIN OFTtS1"Y �BO"T(SARRYOWEMRS-fMAN r � M Purchase Order #189246 f692'E I Inc. 26 North Market Boulevard,Sacramento,CA 95834 <br /> Purchase Order #189246 fo 2' <br /> Shaw & <br /> Lab Sparger Technolo <br /> 11-PiWEL-WIM W± I sis Requested <br /> Project Name Don Rogers Ana <br /> Project Number 880039.1A/41030000 <br /> 0 <br /> Project Manager David Herzog o <br /> Company �Jhar� EZ,Z <br /> Address 1326 North Market Boulevard o <br /> Sacramento,CA 95834 U ww <br /> Phone 916-565-00 F 916- 54356 0 <br /> E� <br /> Sampler's Signature x REMARKS <br /> z Container Types <br /> Sample 1 LAB Sample t 1 Presery aions. <br /> I D Date Time I D Matrix Tamar <br /> Infl efo Air I I <br /> EffI Air 1 1 <br /> TURNAROUND REPORT REQUIREMENTS <br /> RELINQUISHED BY I RECEIVED BY RELINQUISHED BY RECEIVED BY <br /> REQUIREMENTS X I Routine Report <br /> Si Signature Signature 24 hr 49k 5 day I1 Report(includes DUP,MS <br /> S[ TX MSD,as unr ru Smndard(�10-1s working days} i-e9 � Y be <br /> nted NamePnnted Name r <br /> Punted Name Printed Name Provrde verbal Prelmrmary Results charged as samples) <br /> Provide FAX PrelFmurary Results III Data Validation Report <br /> Tim R Wright 4)J4 <br /> (includes All Raw Data) <br /> Fenn Firm Report Date <br /> Firm Fi� _ e RWQCB <br /> SlsaW E&I Inc f - (MDLs�PQ1.sII RACE#) <br /> DatelTnme// r�lst— DatelTime Date/Tune <br /> Date/Tnme — _ Container Types Key <br /> RELINQUISHED BY iRECEIVED BY Special Instructions/Comments <br /> 40 ml VOA 1 <br /> 125 m1 LPE 2 <br /> Signature Signature Sparger Tech 500 ml LPE 3 <br /> 3050 Fite Circle,Ste 112 1 liter HDPE 4 <br /> Pnnted Name Pnnted Name <br /> Sacto,Calif 95827 500 ml glass 5 i <br /> 916-362-89471 Fx 362-0947 1 titer glass 6 <br /> p Firm 2x6 s/s ring 7 <br /> glass pr 8 <br /> Date/Tmte Date rime <br />