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M C&% ONFINi3SMODY=/LA1A0TATJY A YM REM SMORMM _ M49 M <br /> F <br /> SHAW Environmental&Infrastructure,Inc Purchase Order 208456 <br /> 1326 North Market Boulevard,Sacramento,CA 95834 Lab Sierra Analytical <br /> Project Name Don Rogers Analysis Requested d b Cy <br /> Project Number 8800391A/01020000 <br /> Project Manager David Herzog o <br /> Company SHAW Environmental&Infrastructure,Inc. <br /> Address 1326 North Market Boulevard <br /> Sacramento,CA 95834 0 00 <br /> Phone 916-565-43771 FAX 16-565-4356 X <br /> � o <br /> Sampler's Signature <br /> REMARKS <br /> Sample LAB Sample E - 1 Container Types <br /> I D Date Time I D Matrix n Tedlar Preservations <br /> Q/ INFL U/ Vapor 1 I <br /> 0 L EFFL `{� Vapor 1 1 <br /> I <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BI RECEIVED BI TURNAROUND REPORT REQUIREMENTS <br /> — �) REQUIREMENTS X 1 Routine Report <br /> S atu Signature Signature Signature 24 hr 48hr 5 day II Report(includes DUP,MS <br /> r <br /> X Standard(-to is>vvrkirFs days) MSD,as required,may be <br /> ?Dnted Name Printed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Tim R Wright Pro�tde FAX Prelimmary Results III Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date (includes All Raw Data) <br /> Shaw E&I Inc RWQCB <br /> DatelfuneVIA-)�f <br /> atellime Date/Time Date/Time (MDLs/PQLs/TRACE#) <br /> REL SHED 8 1 RECEI[VEUJUX Special Instructions/Comments Q Container Types Key <br /> ` <br /> 1 40 ml VOA I <br /> Signature Signature 1� 125 ml LPE 2 <br /> Sierra Analvttcal 500 m]LPE 3 <br /> Printed Name Printed Name Vf�" 26052 Merit Circle 1 liter HDPE 4 <br /> VW-M-V-xk 1 Suite 105 500 ml glass 5 <br /> Firm Firm �� Laguna Hills,Calif 92653 1 liter glass 6 <br /> -1-8-63 1 G:L't 20 s/s ring 7 <br /> Date/'Time Date/Time Zo.� glass)ar 8 <br />