Laserfiche WebLink
r��r r r rr M rr M * r r MM r r o r <br /> CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM <br /> o SHAW Environmental&Infrastructure,Inc. Purchase Order #3648 <br /> 1326 North Market Boulevard,Sacramento CA 95834 Lab STL!tanterra,W Sacto _ <br /> Froject Name Don Rodgers Anal sis Requested <br /> Global ID: T0607700717 <br /> Project Number 8800391A/01010000 <br /> Protect Manager Dan Wynne <br /> Company SHAW)environmental&Infrastructure,Inc. N <br /> Address 1326 North Market Boulevard °O <br /> Sacramento,CA 95834 to <br /> o c <br /> Dir Ph 916-565.4184 1 F916 65-43 0 <br /> Sampler's Signature Z <br /> REMARKS <br /> Sample LAB 'Sample 1 ContainerTypes <br /> I D Date Time I D Matrix HCl Preservations <br /> MW-1R tt(, 1gos water 6 6 <br /> N MW-2R vilf 0 water 6 6 <br /> r MW-3R water 6 6 <br /> N lull <br /> MW-4RS L35 water 6 6 '1u <br /> MW4RD Of water 6 6 ` <br /> o VW-1D water 6 6 <br /> Z <br /> i <br /> w VW-3D 011,f water 6 6 <br /> VW-4 0U0 water 6 6 <br />� o <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X L Routine Report <br /> S1 u Sign re Signature Signature 24 hr _48 tv _5 day ll Report(includes DUP,MS <br /> X S.W. -10.15 work g d�ya) MSD,as required,may be <br /> 1�nnted am j�lJ,, t Name Panted Name Printed Name Piorxb V"W yR=Ils charged as samples) <br /> /� r"7to kA i be rrovuaFAx ra yxeauue M Data Validation Report <br /> Fkn5 q_X Firm S Firm Firm Recian,m Pvm I)= (includes All Raw Data) <br /> RwQCs <br /> DatelTime tr a Date/Iune Darren Date me <br /> (MDIs/PQ1slTRACFAt) <br /> RELIN HED BY RE BY Speciai InatrvckonslCornments Container Types Key- <br /> 40 nil VOA 1 <br /> Signature Signature STL/Quanterra 175 ml LPE 2 <br /> Need EDDs for GeoTraeker. 880 Riverside Parkway 500 ml LPE 3 <br /> Pruned Name Panted Name Send directly to: <susatLwaterman@shawgrp.com> w Sacto,Calif 95604 1 liter HDPE 4 <br /> 916-373-56001 Fx 372-1059 500 ml glass 5 <br /> Finn Firm Contact Pravanih]lay Iliter glass. 6 <br /> 2x6 s/s ring 7 <br /> ^� <br /> k;t17r1M1 Date <br /> 11"ieldCaorrL Sheila 0916 565-4327 glass az 8 <br /> 0 <br /> A <br /> N <br /> 1 <br />