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CHAIN OF CUSTODY I LABORA Y ANALYSIS REQUEST FORM Page <br /> EMCONW Inc. P.O.No: -:�6(-, 44* z <br /> 1326 North Market BoulevardSacramento CA 95834 Lab: CA3 Can Park <br /> Project Name.Foothill Landoll,San Joaquin County Analysis Requested <br /> Project Number: 791289/00001000 <br /> Report to: Sheila Richgeis <br /> Company: EMCON/OWT Inc. o -5 <br /> Address: 1326 North Market Boulevard e <br /> Sacr o,CA 95834 4 <br /> Dir Ph: (916)565-432 FAX: (916)565-4356rj <br /> Samplers Signature: U z F <br /> o ' REMARKS <br /> ampleamp e 1 a Container Types <br /> I.D. Date Time I.D. Matrix HCl NP HNO3 Preservations <br /> S-1 ter 5 3 1 1 <br /> S-2 water 5 3 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 4s iu 5 day II. Report(includes DUP,MS <br /> smnaara is wog rays) MSD,as required,may be <br /> Printed Name Printed Name Printed Name Printed Name movtae Vabel ary Results charged as samples) <br /> Pmride PAX sults III.Data Validation Report <br /> Firm Firm Finn Irian Requested Report Dau: (includes All Raw Data) <br /> X RWQCB <br /> Date/rime Date rime Date/rime IDatefrime,. ..._ (MDLs/PQLsJTRACF.#) <br /> RELINQUISHED BY RECEIVED BY Special InstraactiorWComments: Container Types Key: <br /> 40 mi VOA 1 <br /> Signature Signature Please report MDLs,PQLs and Trace. Sequoia Analytical 250 ml LP&: 2 <br /> Nitrate-Nitrogen has a 4&hr hold time. 819 Striker Avenue,Ste.8 500 mi LP& 3 <br /> Printed Name hinted Name Sacramento,Ca 95834 1 liter HDPE-. 4 <br /> 916-921-9600 500 ml glass: 5 <br /> Firm Firm Contact: Ron Chew i liter glass: 6 <br /> 2x6 sls ring: 7 <br /> Date/time Date/time glass jar: $ <br />