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PRWROH TORC>M CII OF CUTODY IgIppi <br /> Analytical Laboratory <br /> 3935 N.Coronado Ave,Stockton CA.95204 Phone:(209)477-8105 Page Of <br /> 1 1 <br /> Work Order No. 2011303 <br /> ent ame Project Name <br /> Requested a yses EDD Requirement Requested Turn Ar nun <br /> UniFirst Corporation Effluent(1 per Week&2 per We Excel EDD ❑ <br /> Client Contact Project Number Geotracker ❑ Rush requests subject to <br /> William Geary UFC N DWO upload additional charge. <br /> Address Protect Description <br /> Q OA/CLC Rush requests subject to lab <br /> 819 N.Hunter Street o W Regulator approval. <br /> City PO Number Ln ~ State Specify: <br /> Stockton H O <br /> State/Zip Shipped :: Specify: Standard(days) <br /> CA,95205 LC w <br /> Phone Fax Matrix m0 Global ID Expedited(days) <br /> N <br /> (209)941-8364/(209)941-4022 sediment❑ Other❑ Ln a <br /> Sampler Sampler Sin = ❑ soil❑ tail <br /> P P g System ID Due Date <br /> 0 � <br /> rite W -) Surface❑ m O S <br /> reservation code <br /> Sample Type Matrix Container Laboratory Work order No./ <br /> Laboratory Work Order No./ID Sampled Date Sampled 'nine Code Code Count a:J d::3 Sample Condition Temperature Sample ID <br /> Automatic 24 hrs Composite Sampler C W 1 1 0 LM 3 b.?-D <br /> Final Effluent at Discharge Fiume f Wo G W 1 0 1 <br /> Relinquished By Date�me Receiv y Dantefrime SAMPLING <br /> ' f - (�( _ Special Instruction <br /> ODate/Time Receiv By Datefrime COMPOSITE SAMPLER SETLI/ <br /> Relinquished By Samplers) V <br /> Relinquished By Date/Time Received By Date/Time Date Setup -,mi, / ©� <br /> Cooler Numbers and Temperatures comment: + <br /> Matrix codes: W=Waste water Preserv.Codes: 1=Store cool at 4°C,3=Add HCI to pH<2;Store cool at 4°C <br /> Cont.Codes a=11.Poly-Unpres,d=1L Amber-HCI <br /> Page 17 of 21 <br />