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CHAIN OF CUSTODY / LABORATORY ANALYSIS REQUEST FORM Page_of <br /> EMCON/OWT Inc. P.O.No: 211868 . <br /> 1326 North Market Boulevard,Sacramento, CA 95834 Lab: Sequoia Analytical,Sacto <br /> Project Name: Foothill Landfill,San Joaquin County Analysis Requested <br /> Project Number: 791289/00003000 <br /> b <br /> Project Manager: Steve Giacomini Go Eof 8 <br /> Company: EMCON/OWT Inc. <br /> C,00 <br /> ' <br /> Address: 1326 North Market Boulevard C14 <br /> Sacramento,CA 95834 0 <br /> 6)56-44356 oDir Ph: (916)565-4335 (910 <br /> C4 u <br /> Sampler's Signature: _ UO �, <br /> z � v =+ REMARKS <br /> Sample LAB Sample1 4 3 1 Container Typos <br /> I.D. Date Time I.D. Matrix HCl NP HNO3 I JPreservations <br /> MW-3 8-tLi 531 water 5 3 1 1 <br /> LW-1 f® water 5 3 1 1 <br /> Field Blank PIA water 1 1 <br /> Trip Blank �" water 1 1 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Si Signature Signature Signature 24 hr 48 hr 5 day II. Report(includes DUP,MS <br /> X Standard(-10-15 working days) MSD,as required,may be <br /> P e Name PrintedNam Printed Name Printed Name Provide Verbal PreWninary Results charged as samples) <br /> "nV v) Provide FAX Preliminary Results III.Data Validation Report <br /> F, n C (� Firm Firm Requested Report Date: (includes All Raw Data) <br /> � C X RWQCB <br /> Date/Tune Cf-1t C)3 Date/Ti e 8 l jd6 Date/Time Date/Time (MDLs/PQLsfFRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> Sequoia Analytical 40 ml VOA: 1 <br /> Signature Signature Please report MDLs,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 /> Contact: Ron Chew 500 ml glass: 5 <br /> Firm Finn I liter glass: 6 <br /> 2x6 s/s ring: 7 <br /> Date/Time Date/Time glass jar: 8 <br />