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M M OWN cWu�n�B4WT6VA�ys�Q1WT �M M M ON � <br /> Shaw Envir ental Purchase Order <br /> 1326 North Market Blvd,Sacramento,Calif 95834 Lab <br /> Project Name `N j 'f--a eL��.[ Anal sis Requested <br /> Pro}ectNumber /,7-0;Z9- / <br /> Report to 71 . ►ti/y v,.� <br /> Company Shaw Environmental c <br /> Address 1326 North Market Boulevard a <br /> C <br /> Sacramento,CA 95834 _ <br /> U <br /> Cell Ph (916)591-3161 FAX (916)565-4356 <br /> Sampler's Signature <br /> E <br /> z REMARKS <br /> Sample LAB Sample Sleeve Container Types <br /> ID Date Time ID <br /> Matrix Ice Preservations <br /> w — /y 4 Soil LL <br /> I <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS I Routine Report <br /> Signature > a e Signature Signature 24 hr _4s hr _5 day II Report(includes DUP,MS <br /> Standard MSD,as required maybe <br /> 1100 Printed NameP [ me Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> s a Provide FAX Preliminary Results III Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date (includes All Raw Data) <br /> �/ RWQCB <br /> Date/Time3—,3J-f D& JlpI1 DateJdpi,( DatuTime jDateiTtine I (MDLsIPQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special/Instructions/Comments Container Types Key <br /> Signature Signature K 'L "jY S 40 ml VOA 1 <br /> �p 250 ml LPE 2 <br /> 500 ml LPE 3 <br /> Printed Name Printed Name I liter HDPE 4 <br /> Firm Firm �� `f 500 ml glass 5 <br /> ` J I liter glass 6 <br /> 2x6 sts ring 7 <br /> Date/Time Daterl tine glass jar 8 <br />