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•� •� •• "tHMOMSTMYT?ABMTMAIMYIMReMES"Offf ® - <br /> 0 1433 North Market Boulevard,Sacramento,CA 95834 Service Request No: PO Number: #9200157 <br /> EIVIC011 (916)928-3300 FAX(916)928-3341 Lab: SPARGER <br /> Project Name: Foothill Landfill,San Joaquin County Analysis Requested <br /> Project Number: 16037-200.000 <br /> Project Manager: Steve Giacomini <br /> Company: EMCON/OWT <br /> Address: 1433 North Market Boulevard <br /> Sacramento,CA 95834 0 <br /> U nn <br /> Phone: (916)928-33011 o U <br /> FAX: (916)928-3341 p z <br /> Sampler's Signature: <br /> REMARKS <br /> Sample LAB Sample 4 Container Types <br /> I.D. Date Time I.D. Matrix NP Preservations <br /> S-1 water 1 1 <br /> S-2 water 1 1 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Signature Signature Signature Signature 241a 48 lir 5 day II. Report(includes DUP,MS <br /> Standard(-10-15 workbrg days) MSD,as required,may be <br /> Printed Name Printed Name Printed Name Printed Name Provide Verbal Prelbnbrary Results charged as samples) <br /> Provide FAXPrelimbmry Results III.Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date: (includes All Raw Data) <br /> X RWQCB <br /> Date/Time Date/Time Date/Time Date/Time (MDLS/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Conuirents: Container Types Key: <br /> Sparger Lab 40 nil VOA: 1 <br /> Signature Signature Please report MDLS,PQLs and Trace. 3050 Fite Circle,Ste.112 250 ml LPE: 2 <br /> Nitrate-Nitrogen has a 48-hr hold time. Sacramento,Ca 95827 500 ml LPE:' 3 <br /> Printed Name Printed Name 916-362-8947 1 liter HDPE: 4 <br /> 500 ml glass: 5 <br /> Firm Firm 1 liter glass: 6 <br /> 2x6 s/s ring: 7 <br /> Date/Time Date/Time glass jar: R <br />