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f <br /> CHAIN OF CUSTODY 1 LABOROORY ANALYSIS REQUEST FORM <br /> IT/EMCNN - 1433 North Market Boulevard,Sacramento,CA 95834 Service Request No Purchase OrderIZ 9 Q S <br /> (916)928-3300 I?AX (916)928-3341 ._._ <br /> t ab SEQUOIAProject Name IBC-Stockton <br /> Analysts Requested <br /> Project Number IT#792759122605-101 003 <br /> Project Manager Marl.Capps <br /> Company IT/EMCON Unry <br /> C) <br /> 00 <br /> Address 3939 Cambridge Road,Suite 220 G '? <br /> Cameron Park,CA 9682 c 00 <br /> Phone (530)676-6881 v x o <br /> FAX (530)676-6885 o CDD <br /> Sampler's Signature <br /> � x � <br /> SampleSamplez REMARKS <br /> P LAB I <br /> Container Types <br /> I D Date Time I D Matrix IICt Preservations <br /> MW-I 1 /y1 G water 3 3 <br /> MW-2 water 3 3 <br /> REL1114QUJSIIE67V RECEIVED Bl' RELINQUISIIED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> RLQUIREIIIENIS X I Routine Report <br /> Soda rc Signaturf Signature Signature 24 hr 49 Ar s My 11 Report(,ndudes DUP,MS <br /> L..t< <br /> —tiianil4iJ( tolSwutlw�J.y�l MSD a5tuuu�d ata bt. <br /> i nniLd Name, I'urtLd NJmt I Y <br /> �+ V\c)r_ p \\ Pflnt4d Ndtl16 PClnlld Ndmt �.-I'wada 1'rrL�l!'�dhosmiury H4aulta Lharge.v aS Sd[nplls) <br /> `� rj�1 <br /> Finn FirmPfu�l&PAX Prelmm�aiy Rnult3 ill Data Validation Report <br /> q �/y�� ti <br /> S tLG I C� Firm Firm (irlClLLdtS All Raw Data) <br /> Requested Repon 04tC <br /> RWQCB <br /> Datefflme Datefrlme Datelftme Datefftme (M0Ls1PQLs1TRACE#) <br /> RELINQUISHED BY RE E1 D BY Special Inslructions/Comments Container Types hey <br /> Sequoia Analytical 40 nil VOA I <br /> Signature Signature 819 Striker Ave,Ste 8 250 nil l PE 2 <br /> Panted Name Panted Name <br /> Sacto,Ca 95834 500 ml LPE 3 <br /> i <br /> 916-921-9600 1 liter HDPE 4 <br /> Firm Firm Ann Ron Bobel 500 ml glass 5 <br /> l Etter glass 6 <br /> JDa1c/Tim;e Date/rime <br /> 2x6 s/s ring 7 <br />