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EMCON/OWTmcCHAIN OF CUSTODY /LABORATORY ANALYSIS REQUEST FORM Page_of— <br /> . <br /> 1326 North Market Boulevard Sacramento CA 95834 P.O.No: 189780 for 2002' <br /> Project Name:Foothill Landfill,San Joaquin County Lab: Se ma Analytical,Sacto <br /> Project Number: 791289/00004000 Analysis R ed <br /> Project Manager: Steve Giacomini <br /> Company. EMCON/OWT Inc. <br /> Address: 1326 North Market Boulevard N <br /> Sacramento,CA 95834 0 00-< 'IOU <br /> " <br /> Dir Ph: (916)56574335 / (916)5 4356 6 w otko <br /> Sampler's Signature: a U z <br /> Sample REMARKS <br /> P LAB Sample 1 4 <br /> I.D. Date Time I.D. Matrix Hct NP Container Types <br /> Preservations <br /> MW-1 , water 4 3 1 <br /> MW-2 ln`t ��f water 4 3 <br /> 1 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY <br /> TURNAROUND REPORT REQUIREMENTS <br /> Si Si Signature REQUIREMENTS X I. Routine Report <br /> Signature 24 hr 48k 5 day IL Report(includes DUP,MS <br /> tinted a P/1� Printed Name Printed Name X Provide Verbal tpteliminary Readffi MSD,as required,may be <br /> barged as samples) <br /> F F F Provide FAXFreIvninarylteaulta III.Data Validation Report <br /> ? Firm Requested Report Date: (includes All Raw Data) <br /> DatdTime e4y.VL D iU 33 DatdTimeX RWQCB <br /> RELINQUISHED BY Datefiime <br /> RECEIVED BY Spedal7nstructions/Comments: (MDL&PQLvlTRACE— <br /> Container Typas Key: <br /> Signature Signature Please report MDLs,PQLs and Trace. Sequoia Analytical 40 ml VOA: i <br /> Nitrate-Nitrogen has a 4s-hr hold time 819 Striker Avenue,Ste.8 250 ml IPE: 2 <br /> Printed Name Printed Name Sacramento,Ca 95834 500 ml LPE: 3 <br /> 916-921-9600 1 liter HDPE: 4 <br /> Firm Firm Contact: Ron Chew 500 ml glass: 5 <br /> I liter glass: 6 <br /> Da dTime Datelfime W s/siing: 7 <br /> • glass jar:. g <br />