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Wt% yl *WI1J11Wj1)WU41W <br /> 1 1 1! _ Drill arket ou evar ,Sacramento,CA 95834 Purchase Order <br /> (916)928-3 FAX(916)928-3341 1 ab Sequoia Analytic ,Sacto <br /> I'roit a Name Don Rogers Analysts Requested <br /> 11"10J1.0 N u m bLr 880039 1A/01050000 <br /> Ytujt.t.t Manager Mark Capps N <br /> (onipany IT/EMCON 00 <br /> Address 3939 Cambridge Road,Suite 220 <br /> Cameron Park,CA 95682 U 00 <br /> Phone (530)676-6881 N g <br /> I AX (530)676-6885 ° o <br /> Sampler's Signature C) W <br /> g REMARKS <br /> Sample LAB Sample I Container types <br /> ID Pate Time ID Matrix HCI Preservations <br /> MW-lei LSOi 0 yQ water 3 3 <br /> RLI INOUISHLD BY RC£IVED BY REI INQUISHED BY RECEIVED BY TURNAROUND REPORT REQU1RFti1ENTS <br /> t <br /> X410 t,e1 REQUIREMENTS X I Routine Report <br /> Sego }rc Si Signature Signature 24 kr 49 hr S day II Report(includi.s I UP MS <br /> Suadard(-10 IS working days) MSD,as required,md) be <br /> Pili d ant P ed NprnePrimed Name Printed Name Provide Verbal Prdimm`ry Results chargr.d as sampina) <br /> Pta�ide FAX Preiimmaiy Rauits III Data Validation Report <br /> I rrin + Firm. Firm I'lrrll Requested Repun Due <br /> ey (inilude,s All Ka++ Data) <br /> RWQCB <br /> (lat+ll ull� I j 1 Date/tone Date/f ime IDalell rmeF{MDI 9YO1 a(I HA( E N) <br /> Hl. I INQU I D BY RE(LIVED BY Specral Instruetrons/cornmenls Sequoia Analytical Conlaini.rl yp,s tip) <br /> 819 Striker Ave,Ste S 40 rnl VOA I <br /> SlgnauuL Signature Sacramento,Ca 95834 125 nil LPE 2 <br /> 916-921-9600 500 1111 LPE 3 <br /> 1'1111tLd Narnc, Printed Name Contact Ron Bobel I liter 111)PE 4 <br /> 500 tnl glass 5 <br /> l inn 1 trm 1 liter glass 6 <br /> _ 2a6 sls ring 7 <br /> 11 ii�ll mu �� f)atc/I tine glass lar 9 <br />