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mmmm <br /> 4W <br /> r ~ To �ALTIIS MUES FORM <br /> SHAW Eo nmen4r <br /> tal&Infrastructure,Inc Purchase Order 189247 for 2002' <br /> 1326 North Market Boulevard, Sacramento,CA 95Lab Sparger Technology <br /> Project Name Don Rodgers Analysis Requested <br /> Global W No T0607700717 <br /> Project Number 8800391A/01050000 0 <br /> N <br /> Project Manager David Herzog <br /> Company SHAW Environmental&Infrastructure,Inc u <br /> Address 1326 North Market Boulevard o <br /> Sacramento,CA 95834 w X a <br /> Dtr Ph 916-565-4377 / FAX 916-565-4 6 <br /> Sampler's Signature a <br /> Z H2 . REMARKS <br /> Sample LAB Sample I Container Types <br /> ID Date Time ID Matrix HCI Preservations <br /> MW-1R 1 l-k8 water 3 3 <br /> VW-2D iy water 3 3 <br /> VW-3D water 3 3 <br /> VW-4 water 3 3 <br /> RELINQUISHED BY C IV ED RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I Routine Report <br /> Signatur Si re Signature Signature 24 hr 48 hr 5 day II Report(includes DUP,MS <br /> 04 1//* ))k, X Standard(--10 15 working days) MSD,as required,may be <br /> PrintedbLeV d Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Ru / Provide FAX Pmlrmmary Results III Data Validation Report <br /> Firm F l Firm Firm Requested Report Date (includes All Raw Data) <br /> -J RWQCB <br /> Date/Time h-13-02- a 1 Date/Time Date/Time r (MDLs/PQLs/1TRACE#) <br /> RELINQUISHED BY ECEIVED BY Special Instructions/Comments Container Types Key <br /> Sparger Technology 40 ml VOA 1 <br /> Signature Signature 3050 Fite Circle,Suite 112 125 ml LPE 2 <br /> Need EDDs per RWQCB Requirement for UST sites Sacramento,Calif 95827 500 ml LPE 3 <br /> Printed Name Printed Name 916-362-8947 1 Fx 362-0947 1 liter HDPE 4 <br /> Contact Will 500 ml glass 5 <br /> Firm Firm I liter glass 6 <br /> 2x6 sls ring 7 <br /> Date/Time Date/Time glasslar 8 <br />