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PRKMOH fNR(>K0 C8AQ O CQS'tODY Ignpi <br /> Analytical Laboratory <br /> 3935 N.Coronado Ave,Stockton CA.95204 Phone:(209)477-8105 Page Of <br /> 1 1 <br /> Work Order No. 2012706 <br /> nt ame Project Name j RequestedRequirement Requested Turn Around <br /> UniFirst Corporation Effluent(1 per Week&2 per We Excel EDD ❑ <br /> Client Contact Project Number F i Geotmcker ❑ Rush requests subject to <br /> UFC (� 11 <br /> additional charge. <br /> William Geary N DWQupload <br /> Address Project Description <br /> � � QA/QC Rush requests subject to lab <br /> 819 N.Hunter Street v ko Regulator approval. <br /> City PO Number in State Specify: ❑ <br /> Stockton g o <br /> state/zip Shipped By to L4 Specify: Standard(days) <br /> CA,95205 Pick-Up . 2 <br /> Phone Matrix 2 Global ID Expedited(daysl <br /> (209)941-8364/(209)941-4022 sediment E Other❑ rN e <br /> Sampler Sam ignature Potable D soil❑ Q N � � System ID Due Date <br /> Waste W:j Surface❑ m Oca <br /> 2 <br /> reservanon ❑e <br /> Sample Type Matrix Container I <br /> Laboratory Work Order No./ <br /> Laboratory Work Order No./ID Sampled Date Sampled Time Code Code Count b::l a::l d::3 Sample Condition Temperature sample ID <br /> Final Eff.Auto.24hrs Comp.Sampler Z C W 1 1 0 0 2709 <br /> Final Effluent at Discharge Flume l d G W 2 0 1 1 �l Zr/v�s <br /> Relinquishe 2 Date/Yme ed By ate�me SAMPLING <br /> 2 Special Instruction <br /> Date/Time Received By Date/rime COMPOSITE SAMPLER SETUP: <br /> Relinquished By Sampler(s) <br /> Relinquished By Date/Time Received By Date/Time Date Setup —r f��,� 'ZZ--e f /OCJ <br /> Cooler Numbers and Temperatures comment i--�'�� <br /> Default Cooler at 5 9C <br /> Matrix codes: W=waste Water Preserv.Codes: 1=Collect in methanol;Store cool at 4°C,1=Store cool at 4°C,3=Add HCI to pH<2;Store cool at 4Y <br /> cont.Codes a=1L Poly-Unpres,b=500 mL Poly Unpres,d=1L Amber-HCI <br /> Page 21 of 21 <br />