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III � �CdM CWUMD)�RABTMA Y ML R MES ORMM <br /> IT/EMCO - 1433 North Market Boulevard,Sacramento,CA 95834 ervice Request No Purchase Order <br /> (916)928-3300 FAX (916)928-3341 Lab SEQUOIA <br /> Project Name IBC-Stockton Analysts Requested <br /> Project Number IT#792759122605-101 003 <br /> Project Manager Mark Capps Q <br /> Company IT/EMCON <br /> Address 3939 Cambridge Road,Suite 220 <br /> Cameron Park,CA 9682 0 <br /> Phone (530)676-6881 SC N <br /> FAX (530}676-6885 ° o <br /> Sampler's Signature <br /> x <br /> E¢-� REMARKS <br /> Sample LAB Sample I Container Types <br /> D pate Time I D Matrix HCl Preservations <br /> MW-1 water 3 3 e <br /> MW-2 l ov water 3 3 <br /> RELI U BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I Routine Report <br /> Signare ' ^I 5lgnature Signature Signature 24 hr 48 hi s day II Report(includes DUP,MS <br /> V" Standard(-10 15 working days) MSD,as required,may be <br /> Pnnte am3/ Printed Name Printed Name Printed Name Provide VGrbai Pfehmina.y Itmults charged as samples) <br /> 1 1 Provide FAX Pielumnmy Resulu III Data Validation Report <br /> Firm Flrm Firm Firm Requested Rcpori Date (includes All Raw Data) <br /> I )t .Z! &i7 <br /> RWQCB <br /> Datefllmt Date/Time Date/Time IWUTimc (MDialPQI-s/TIUL 1-4) <br /> REI INQUISHED BY �- REt'EWED BY Spectal Instructions/Comments; Containei Types Key <br /> Sequoia Analytical 40 ml VOA 1 <br /> Sign start 5:9- <br /> 819 Still a AVL Sit. 8 250 ml 1 PF 2 <br /> I Sauu,(a 9.)834 500 rill I PE 3 <br /> Printed NamL Pl imod Ngoie 916 921 9600 1 liter I11)PE' } <br /> e Alin Ron Bobel 500 ml giass 5 <br /> 1 am i ant I lnu glaax is <br /> JQ, , E 1 i d <br /> 2x6 Sin ting 7 <br /> gla�6 Iar 8 <br />