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M am HAW O JSIRY �BCWT AWY�tEWS'�RX �AM <br /> IM <br /> Shaw E &I Inc 26 North Market Boulevard,Sacramento,CA 95834 <br /> Purchase Order # 189246 02' <br /> (916)928-3300 FAX 916) 928-3341 Lab 5 ar er Technology <br /> Protect Name Don Rogers Anal sis Requested <br /> Project Number 880039.1A/01M000 <br /> Project Manager David Herzog o <br /> Company Shaw � � <br /> Address 1326 North Market Boulevard c <br /> Sacramento,CA 95834 r j x <br /> Phone 916-5654370 1 FAX 916-5654356 0 <br /> Sampler's Signature x <br /> Z � REMARKS <br /> Sample LAB Sample Container Types <br /> I D Date Time I D Matrix , Tedlar <br /> hffl 3 �- OS3Air 1 1 <br /> Effl Air 1 1 <br /> i <br /> RELINQUISHED BY RECEIVED BY RELINUISHED B IVSD BY TURNAROUND REPORT REQUIREMENTS <br /> 20REQUIREMENTS X I Routme Report <br /> Signatures Signature St re 24 hr 411 hr 5 day iI Report(includes DUP,MS <br /> ' Lo IC-77a,it{ X Standard(-.10-15 wodang days) MSD,as regmred,may be <br /> Printed a Printed Name Printed Name Pruned Name Provide Vabal Nc mmiary Results charged as samples) <br /> Tim R.Wright �I Provide FAX Prehmmary Resi*s III Data Validation Report <br /> Firm Firth Fern Ftr& Requested Report Date (includes All Raw Data) <br /> Shaw E&I Inc / 05 L Z 1 RWQCB <br /> Dale/Tune 'b Date/Trme Pate/Time Dat ime (MDIs1PQIs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instrueflons/Comments Container Types Key <br /> 40 ml VOA 1 <br /> Signature Signature 125 ml LPE 2 <br /> Sparger Tech. 500 ml LPE 3 <br /> Printed Name Printed Name 3050 Fite Circle,Ste 112 1 liter HDPE 4 <br /> Sacto,Calif 95827 500 ml glass 5 <br /> Firm Firm 916-362-89471 Fa 362-0947 I liter glass 6 <br /> 2x6 s/s ring 7 <br /> Dateaune Date,/Time glassiar 8 <br />