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CHAIN OF CUSTODY 1 LABORA ORY REQUEST ANALYSIS EST FORM <br /> N Q <br /> 1433 North Market Boulevard,Sacramento,CA 95834 Service Request No �j����� J 1'U Number NIA Paige I of 1 <br /> >1 MCOIn (916) 928-3300 FAX(916)928-3341 Lab CAS ,r <br /> Project Name Teichert-Stockton Analysis Re uested <br /> Project Number20F90-002 004,Task 001 <br /> Project Manager Matt Turner <br /> Company EMCON <br /> Address 1433 Norllt Market Boulevard <br /> a <br />� Sacramento,CA 95$34 U <br /> Phone (916) 928-3301 c <br /> FAX (916) 928-334 r u <br /> Sampler's Signature x <br /> Z REMARKS <br /> Sample LAB Sample I lConiainerTypes <br /> ID Date Time ID Matrix HCl Preservauom <br /> MW-9 2fz1% mo , water 2 2 <br /> MW-10 1215 water 2 2 <br /> MW-Il ?qo J water 2 2 <br /> MW-13 13 ZO ¢ water 2 2 <br /> MW-14 1350 water 2 2 <br /> El EI ti 1) 7,e'v' <br /> I) REI INQIIISIII DIIV R14EIVI I)111 1URNAROUND R1•PI)RI Ri QVIR1 Nil NIS <br /> y(— RI-t,1111R1 MI NIS X I RoL1111ll RtptariI(rt+uul� f nrlc tilgtiutur� Signature zitu +n i„ sdnr II Ittpn1111ntluth ,01W NIS <br /> 11 i Y-C r LL X standa,d(-t0 15 wo"S days) MSB,as required,may be <br /> Pnnted Name Printed Name Printed Name Printed Name Ptovtde urinal Preliminary Results charged as saniph s) <br /> EFALO \ .5 Provide t AX PKitlmna y Results III Data Validation R,,port <br /> Ft / Firm Firm Finn Reyursted krpori Dale (lnLiudes All Raw Data) <br /> R 1'o 10C r� ��D /Iry RWQC$ <br /> Datclrif tt1 Cli Dat the tcllirnc DarcJrtrne (MDLs/PQLs1TRACEU) <br /> RLLINQRIISHhD JLt RECEIVED BY Special Instructlens(Comments Container Types Key <br /> 40 ml VOA I <br /> Signature Signature 125 mi LPE 2 <br /> 500 mt LPE 3 <br /> Printed Name Printed Name I titer HDPE 4 <br /> 500 ml glass 5 <br /> Firma Frrm 1 liter glass 6 <br /> 2x6 sis nng 7 <br /> M- rr­ elabs lar 9 <br />