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/ ortlWket vat ram CA 4` -.yi' .Naw� P %-F Order w W M <br /> (916)928-3 FAX916 <br /> { )928-3341 Lab Sequoia Analyte ,Sacta <br /> Project Name Don Rogers Analysis Requested <br /> Projeu Number 880039 IA/01050000 <br /> Project Manager Mark Caples a <br /> N <br /> Company 1T/EMCON <br /> Addi ess 3939 Cambridge Road,Suite 220 ti <br /> 0 <br /> Cameron Park,CA 95682 0 f <br /> Phone (530)676-6881 X c ' <br /> FAX (530)676-6885 C> <br /> Sampler's Signature r� <br /> x m <br /> H REMARKS <br /> Sample LAB Sample 1 jContatntr Types <br /> ID Patp Time ID Matrix HCI PreSCIVdIlOn5 <br /> MW-1R l.s 0( 44c{Q water 3 3 <br /> i <br /> i <br /> I <br /> RLI INQUISIM)BY R�CEIVED BY REI INQUI LIED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> r <br /> "1-0 L 0. REQUIRESIEN I S X 1 Routine Report <br /> 5ig��ti}re Si n Signature Signature 24 hr 48 hr 5 day 11 Repon(includes DUP,MS <br /> 4` f Sttmdard(-l0 15 working days) MSD,as required,may be <br /> Prue d ani P ed N"e Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> dr tv1 Provide FAX Preliminary Results III Data Validation Report <br /> f irinr Firm Firm Firm Requested Report Disc (includes All Raw Data) <br /> 1L Stu <br /> 'C'I <br /> RWQCki <br /> DatefI line Date/Time I Dateflime Dale lime (MDI s/PQl if RAC 1#) <br /> 101 INQtII 11 D BY RECEIVED BY Special Instructions/Comments Sequoia Analytical Container Types Key <br /> 819 Striker Ave,Ste 8 40 ml VOA I <br /> Slgiiature Signature Sacramento,Ca 95834 125 mi I PE 2 <br /> 916-921-9600 5G('ml LPE 3 <br /> Printed Name Printed Name Contact Ron Sobel I liter HDPE 4 <br /> 500 ml glass 5 <br /> 1 inn Firm I liter glass 6 <br /> 2x6 s/s ring 7 <br /> DatLfl uue Date/Tune glass lar 8 <br />