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Paye of <br /> CHAIN OF CUSTODY/LA.BOI A ORY ANALYSIS REQUEST FORM — — <br /> EMCON/OWT Inc. , P.O.No: 75049.f9r 2905' <br /> 1326 North Market Bou[evar Sacramen CA 95834 Lab: CAS,Can Park <br /> Project Name:Foothill Landfill,San Joaquin County Analysis Requested <br /> Project Number: 791289/00001000(Resample MW-3) <br /> Report to: Sheila Richgels <br /> Company: EMCON/OWT Inc. ggg <br /> Address: 1326 North Market Boulevard a <br /> Sacramento,CA 95834 <br /> Dir Ph: (916)565-4327 / PAX: (916)565-4356 w <br /> Sampler's Signature: N <br /> I IREMARKS <br /> sample LAB sample 6 diner <br /> I.D. Date Time I.D. Matrix NP Preservations <br /> MW-3 219 /103 water 2 2 <br /> ""N LWMD BY z RECEIVED BY RELIN BY TURNAROUND REPORT REQ HIG EMENTS <br /> REQUIP EMENJfS. X I Routine Report <br /> Si a Signature Signatare f,S' oro m 48 bf 5 any M Report(includes DUP,MS <br /> Spmdsod(-10.15 wodio6 drys) MSD.as IeQttlred,may be <br /> Name acne Printed Name Printed Namervvdevablaq Re.ae. charged as samples) <br /> h0"FAXPr1mW=yRn0b 13LD"Validation,Report <br /> Firm Fun Fum RegeatsdAcpatDue (includes All Raw Data) <br /> HOW X RWQCB <br /> bateJtSi=Aae$' Yao Date/Ti .a Dammme Date/rim (MDLs/PQIBItRAt #) <br /> RELINQULSI3ED BY RECEIVID BY Spatial InshncSons/Commeafs: Container Types Key: <br /> Columbia Analytical 40 ml VOA: i <br /> Signattue' Sigaatute Pkase report MD4 PQLs.updd Tmee.... oga. y.� 6925 CanMemo ` 250 mi LPE: 2 <br /> ,f <br /> PtiatrdName Noted Nam JU). awlg5)'S l U� — �� C=pPark,Ca 91303 500.m1LPE: 3 <br /> r 818-587-5550 1 liter EDP& 4 <br /> ft $18-597-6555 Soo ml glass: S <br /> .Firm Firm / Co>ttact:Stn Sigmas X310 1 liter grass: 6 <br /> U6 sla ring: 7 <br /> Dntelfime Date/i5me <br /> . glass jar. 8 <br />