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EMCON/OWT Inc. CHAIN OF CUSTODY LABORATORY ANALYSIS UQUEST FORM Page_of,_ <br /> f <br /> 1326 North Market Boulevard Sacramento P.P.101 Direct Bill to San Joaquin County <br /> CA 95834 f Lab: CAS,Canoga Park,Ca <br /> Project Name:North County Landfill,San Joaquin County Anal sis Re nested <br /> Project Number: 791288 (Ground Water) <br /> Report to:Sheila Richgels s <br /> <Sheila.Richgels@Shawgrp.com> Fit _ 43 <br /> Company: EMCON/OWT Inc. �v w <br /> Address: 1326 North Market Boulevard o <br /> Sacramento,CA 95834 w M o o Z <br /> Dir Ph: (916)5654327 / FAX: (916)5 -4356 za° <br /> 00 <br /> Sampler's Signature: a, <br /> Sample v U , REMARKS <br /> p LAB Samp e 1 4 3 Container Types <br /> I.D. Date Time I.D. Matrix HClNP Hrr03 <br /> Preservations <br /> G-1 water "5 3 1 1 <br /> G-313 water 5 3 1 1 <br /> G4 46 IWO 3 water 5 3 1 1 <br /> G-5 1-96 9s'0 water 5 3 1 1 <br /> G-6 .�� �.3 water, 5 3 1 1 <br /> Field Blank > water 2 2 <br /> Trip Blank }46 I-31A water. 2 2 <br /> -d Ei±ilE <br /> RELINQUISHED BY RECEIVED BY ,r RELINQU SITED BY RECIE Y TURNAROUND REPORT REQUIREMENTS <br /> A - . I — FEDEX --h96,MREQUIREMENTS X 1. Routine Report <br /> S06) Signature Signature ignature 24 hr ®48 hr 5 day 1I. Report(includes DUP,MS <br /> N4'Kffirei standard t-ao-IS working days) MSD,as required,may be <br /> t Nam Printed Name Printed Name Printed Name CO- e verbal Preliminary Results charged as samples)1 FIJ►"•Q Provide FAX Preliminary Results 111.Data Validation Report <br /> Firm <br /> �r Firm Firriy <br /> F`� �'dl J Requested Report Date: X RwQCB <br /> (includes All Raw Data) <br /> '� <br /> DatelTime s (� Date/Time Date/rime Datefrime (MDLs/PQL§�I'RACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> Report MDLs,PQLs,and Trace. Columbia Analytical 40 inl VOA: I <br /> Signature Signature Nitrate Nitrogen has a 48-hour hold time. 6925 Conaga Avenue 250 ml LPE: 2 <br /> Canoga Park,Calif 91303-3102 500 ml LPE: 3 <br /> Printed Name Printed Name Lab Contact: Karen Ryan 1 liter HDPE: 4 <br /> Firm 818-587-5550 x310 500 ml glass: 5 <br /> Firm FX.818-587-5555 1 liter glass: 6 <br /> Ship FedX Acct 1435-1381-5 2x6 s/s ring: 7 <br /> Date/Time Dat ' <br /> lass jlm <br />