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'M M <br /> MAT CODY /LAMBORAMTORY ANALYSIS REQUEST FORM Page_of_ <br /> IT CORPORATION- 1326 North Market Boulevard,Sacramento,CA 95834 IT P.O. No: 163841 <br /> (916)928-3300 FAX 916)928-3341 Lab: nalytical,Sacto <br /> Project Name: Foothill Landfill,San Joaquin County Anal sis <br /> Requested <br /> Project Number: 791289 - $e <br /> Project Manager: Steve Giacomini a <br /> Company: IT CORPORATION <br /> Address: 1326 North Market BoulevardN rA A <br /> Sacramento,CA 95834 eO 9n <br /> Phone: (916)928-3300 w <br /> FAX: (916)928-3341 �+ U x <br /> Sampler's Signature: O <br /> REMARKS <br /> Sample LAB Sample 1 4 Cwonta-.hper <br /> I.D. Date Time I.D. Matrix HCl NP Preservations <br /> Mw—1 —3— <br /> MW-2 3 1 water 4 3 1 <br /> MW-3 'L water 4 1 3 1 <br /> Field Blank N water a I a <br /> Trip Blank nx 121t water 2 2 <br /> IIEI,I; UISIIED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> • REQUIREMENTS X 1. Routine Retort <br /> fNa!nlp <br /> e i Si 24 hr 48 hr s day H. Report(includes DUP,MS <br /> X ttw�dud(-te!s workinx mye) MSD,as required,may be <br /> r �Y PriQW Narne a cn Printod Name N Provide VaW Frelimhwy Rautu dwged as wnples) <br /> 3 Pf&W&FAX PreWtJnery Raui4 Ill.Data Validation Report <br /> I't I Firm Firm Requated Report Date: (includes All Raw Data) <br /> X RWQCB <br /> Dalelt'imc v ( D OI Date/rimo D ime (MD[s/PQiAfrRACEk) <br /> REI.IN ISHED BY RECEIVED BY Special Instmetions/Conuuents: Container Types hey: <br /> Sequoia Analytical 40 ml VOA: 1 <br /> Signature Signature Please report MDIs,PQLs and Trace. 819 Striker Avenue,SW.8 250 ml LYE: 2 <br /> Nitrate-Nitrogen has a 48-hr hold Sacramento,Ca 95834 500 ml ITE: 3 <br /> !'rinL J Nana Printed Normo 916-921-9600 I liter HDPE: 4 <br /> 500 ml glass: 5 <br /> Fimt <br /> Finn 1 liter glass: 6 <br /> DatrJTimo 2x6 s/s ring: 7 <br /> Dais/1'intr <br /> glass jar: 8 <br />