Laserfiche WebLink
CHAIN OF CUSTODY / LABORATORY ANALYSIS REQUEST FORM Page_of ' <br /> EMCON/OWT Inc. P.O.No: <br /> 1326 North Market Boulevard,Sacramento,CA 95834 Lab: Sequoia Analytical <br /> Project Name:Foothill Landfill,San Joaquin County An sis Requested <br /> First Storm.Event 2002-2003 <br /> Project Number: 791289 y <br /> Project Manager: Steve Giacomini a <br /> Company: EMCONAT Inc. p S, <br /> Address: 1326 North Market Boulevard U 0 <br /> Sacramento,CA 95834 w U <br /> Phone: (916)5654335 / FAX: (916)5654356 <br /> Sampler's Signature: ��'�-- REMARKS <br /> Sample LAB Sample 4 Container Types <br /> I.D. Date Time I.D. Matrix NP Preservations <br /> S-1 /2 fir:�' s'�'S' water 1 1 <br /> S-2 water 1 1 <br /> RELINQUISHED BY RIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X L Routine Report <br /> ZA <br /> Sl 11, nkwme <br /> Signature Signature 24hr 49b 5 day M Report(includes DUP,MS <br /> ^' X swnd (-10-15 worift days) MSD,as required,may be <br /> Printed Nam d Name Printed Name Printed Name HrondeFAXftefirnm&ryRwft <br /> rovide verbal Preliminary Results charged as samples) <br /> ft T III.Data Validation Report <br /> Finn F' Firm <br /> � ^(t j' Firm Requested Report Data: (includes All Raw Data) <br /> �( X RWQCB <br /> Date/Time Date/Time Date/Time DateiTim® (MDLs/PQIxTRACE#) <br /> RELINQUISHED BY RECEIVED BY Special InstructlozWComments: Container Types Kay: <br /> Sequoia Analytical 40 ml VOA: 1 <br /> Signature Signature Please report MDIs,PQLs and Trace. 819 Striker Avenue,Ste.8 250 ml LPE: 2 <br /> Nitrate-Nitrogen has a 48-hr hold time. Sacramento,Ca 95834 500 ml LPE: 3 <br /> Printed Name Printed Name 916-921-9600 1 liter HDPE: 4 <br /> Finn Firm <br /> Contact: Ron Chew 500 ml glass: 5 <br /> 1 liter glass: 6 <br /> 2x6 s/a ring: 7 <br /> Date/Time DatdTime glass jar 8 <br />