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MWH Laboratories Date 06/17/03 Submittal Form & Purchase Order 99-10919 <br /> A Division of MWH Americas,lnc. *REPORTING REQUIREMENTS:One report for this MWH Project Number: 110732 <br /> 750 Royal Oaks Drive Suite 100 Do Not Combine Report with any other samples submitted under different MWH project numbers! <br /> Monrovia, CA 91016-3629 Report &Invoice must have the MWH Pro'ect Number and Sub Pp#: ' <br /> Ph(626)386-1100 Fax(626)386-1095 R f 110732 99ractea <br /> Report all quality control data according to Method. Include dates analyzed ate ex[rac[ea tin ex[rac[eg) <br /> and Method reference on the report. Email by.pdf to Den nis.faigal®mwhglobal.com or Fax results to 626-386-1095 <br /> Ship To Sue Anderson ext 309 Results must have Complete data&QC with Approval Signature. <br /> See reverse side for List of Terms and Conditions <br /> Columbia Analytical Services Provide in each Report <br /> the Specified State <br /> Reports&Invoices to:Dennis Faigal,Sub-contracting Administrator Certification # & Exp DAte for <br /> 6925 Canoga Avenue EMAIL TO:dennis.faigal@mwhglobal.com requested tests + matrix <br /> Canoga Park, CA 91303 MWH Laboratories 750 Royal Oaks Drive CA 91016 <br /> Phone(626)386-1137 Fax(626)386.1095 CA EL&P DIN <br /> Acct#5-136450 <br /> X2501Zb-L RUSH SAMPLE. Results due 6119/03. OK per Sue Anderson. <br /> (818)587-5550 Fax (818) 587-5555 <br /> MWH Project# Report Due: Sub PO# <br /> 1.10732 06/1.9/03 99--10919 <br /> DMF _ <br /> 1 Sample <br /> Clienf Sample 10 for reference only Anal iS Re uested Date & T,me Matrix Container <br /> 1 CUSTSUB 2306170026 TEDEWATER WELL y Diesel Gas/BTEX 06/16/03 0950 aq 3 4OmLvials <br /> Relinquished by: ` Sample Control Timej 3 5 MUST HAVE NOTIFICAION IF TEMP IS GREATER THAN 6 OR LESS THAN 2 CELSIUS <br /> q P Date 06/117103 Page 1 <br /> Received b ��?� rA, Date (Pf l -71 t;,5 Time j.5-", L An Admowledgement of Receipt is requested to attn:Dennis Falgat <br /> r VIA fk� <br />