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r a. �x o s r i o1roWA.1--� iT11E(JRST9R9kNfWsM M M <br /> • <br /> Purchase Order 4 r ' <br /> SHAW Environmental& Infrastructure,Inc t. Pur has 0 # 1842 b fo <br /> 1326 North Market Boulevard,Sacramento,CA 95834 �\ Lab Sparger Technology <br /> Protect Name Don Rogers Analysis Requested <br /> Protect Number 8800391A/01020000 <br /> Project Manager Kathleen Waldo N <br /> Company SHAW Environmental& Infrastructure,Inc. k; o <br /> Address 1326 North Market Boulevard <br /> Sacramento,CA 95834 <br /> Phone 916-5654370 / FAX 916-565-4356 X <br /> t, o <br /> Sampler's Signature = <br /> REMARKS <br /> AZ T <br /> Sample LAB Sample 1 Containerypes <br /> ID Date Time ID Matrix Tedlar Preservations <br /> ]NFL `av Air 1 1 <br /> EFFL Air 1 1 <br /> I <br /> i <br /> RELINQUISHED BY RECEIVED BY I RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1 Routine Report <br /> S a SE Signature Signature 24 hr 49 hr 5 day 11 Report(includes DUP,M <br /> s.dard(-1045 woriungdays) MSD,as required,may be <br /> 'Printed Narne Printed Na a Printed Name Printed Name Provide Verbal Prcluninary Results charged as samples) <br /> �t f �� Provide FAX Prelim nary Resulls III Data Validation Report <br /> Firm Fla Corm Firm Requated hport Date (includes All Raw Data) <br /> RWQCB <br /> Date/Time t,3 {, Date/Tirne D2 - �� DatcrTlme Date(T4me (MDLs/PQLs/TRACE#} <br /> RELIN DISHED BY RECJ�IVED BY Special Instructions/Comments Container Types Key <br /> 40 m!VOA I <br /> 125 ml LPE 2 <br /> Signature Signature <br /> Spa ager Tech 500 ml LPE 3 <br /> Pnnted Name Printed Name 3050 Fite Circle,Ste 112 1 liter HDPE 4 <br /> Sacto,Calif 95827 500 m]glass 5 <br /> Finn Firm 916-362-8947 1 rx 362-0947 1 liter glass 6 <br /> 2x6 s/s ring 7 <br /> DatelTime Dateline glass jar 8 <br />