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M M . oPWuSIMY01WBOAT A"i YM RMNMOM = mss' W M <br /> SHAW Envisental&Infrastructure Inc !02002'' Purchase Cinder #1$9246 <br /> 1326 North Market Boulevard,Sacramento,CA 95834 Lab Sparger Technology <br /> Project Name Don Rogers Analysts Requested <br /> Project Number 8800391A/01020000 <br /> Project Manager Kathleen Waldo c <br /> N <br /> Company SHAW Environmental&Infrastructure,Inc CD <br /> Address 1326 North Market Boulevard S <br /> Sacramento,CA 95834 0 <br /> Phone 916-565-4370 / FAX 916-565-4356 w <br /> Sampler's Signature <br /> Sample B SREMARKS <br /> L amp e 1 <br /> ID Date Time ID Matrix Tedlar Container TypesPreservations <br /> ML S gds `1D?3 AIr 1 1 <br /> EPFL Air 1 1 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> i REQUIREMENTS X I Routine Report <br /> S a` 5i Signature Signature 24 hr 48 hr 5 day Il Report(includes DUP,MS <br /> X Standard(—UO 15 working days) MSD,as required may be <br /> �—ntd Mame Printed N e s Printed Name Printed Name <br /> f � ,yW�,�� Provide Verbal Preliminary Results charged as samples) <br /> fi� W Provide FAX Preliminary Results III Data Validation Report <br /> Firm_ 7 Firm Firm Firm Requested Report Date (includes All Raw Data) <br /> �InF,�C RWQCB <br /> Date/Time 11a /100Datelrime S OZ Date/Time Date/Time (MDLs/PQLsfIRACE4) <br /> RELINQUISHED BY RFC IVSD BY Special Instructions/Comments Container Types Key <br /> Signature Signature 40 ml VOA 1125 ml LPE 2 <br /> Sparger Tech 500 ml LPE 3 <br /> Printed Name Panted Name 3050 Fite Circle,Ste 112 1 liter HDPE 4 <br /> 3acto,Calif 95827 500 ml glass 5 <br /> Firm Firm 916-362-8947/Fx 362-0947 1 liter glass 6 <br /> 2x6 s/s ring 7 <br /> Date/Time <br /> Date/Time <br /> glassjar 8 <br />� I <br />