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� M M r CMRN DP,A-ARA Y"ALR Rfl JX OM ' = r � <br /> Shaw Envi <br /> ental&Infrastructure,Inc. Purchase Order 205765 <br /> 1326 North Market Boulevard,Sacramento,CA 95834 Lab CLS Labs <br /> Project Name Parkinson's Arco,Stockton Analysis Requested <br /> Global ID. T0607700906 <br /> Project Number 8800401A/01060000 <br /> Project Manager David Herzog 2w <br /> Company Shaw Environmental&Infrastructure,Inc c <br /> Address 1326 North Market Boulevard v <br /> Sacramento,CA 95834 U W a_ <br /> Dir Ph (916)565-43¢ / F (916)565-4 56 ° A H <br /> Sampler's Signature ¢ REMARKS <br /> Sample LAB Sample I Contamer Types <br /> ID Date Tune ID Matrixxcl <br /> Preservations <br /> MW-1 "�Z, 3� Water 4 4 <br /> MW-2 -] Water 4 4 <br /> MW-3 Water 4 4 <br /> MW-4 Water 4 4 <br /> MW-5 Water 4 4 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I Routine Report <br /> Sign Signature Signature signature 24 hr 49 hr s day 11 Report(includes DUP,NIS <br /> )F Standud(-10.15 worlong days) MSD,as required,may be <br /> Name Printed Name Printed Name Printed Name Provide Verba[Preliminary Results charged as samples) <br /> U ' Pmvide FAX Prelnnsnvy Remits III Data Vandation Report <br /> Firm I Firm Firm Firm Requested Report Date (includes All Raw Data) <br /> `, - RWQCB <br /> Date/Time DatriTime Date/Time Date/Time (MDLs/PQLs/ RACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments Container Types Key <br /> 40 ml VOA I <br /> Signature S re Need EDDs for GeoTracker CLS Labs 250 ml LPE 2 <br /> 3249 Fitzgerald Road 500 ml LPE 3 <br /> Printed Flame Printe c ) Reporting Iimit 5ppb for MTBE Rancho Cordova,Ca 95742 1 liter HDPE 4 <br /> c d 916-638-7301/Fx 6384510 500 ml glass 5 <br /> Firm Firm / L Contact, Ray Oslowski I liter glass 6 <br /> (� J 2x6 s/s ring 7 <br /> Datefritne Datefrime -2 - glass fat 8 <br /> N30 <br />