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CHAIN <br /> OF CUSTODY/LAORAT ANALYSIS REQUEST FORM Page—W <br /> P.O.No: 211868 <br /> EMCON/OWT Inc. <br /> 1326 North Market Boulevard Sacramento CA 95834 Lab: Se uoia Anal al,Sacro <br /> Project Name:Foothill Landfill,San Joaquin County Requested <br /> Project Number: 791289 (1st Storm inc15-YR COC) � <br /> Report to: Sheila Richgels .04 v <br /> Company: EMCON/OWT Inc. b 1-0 00 <br /> Address: 1326 North Market Boulevard �O <br /> Sacramento,CA 95834 U 49 H O <br /> Dir Ph: (916)565-4327 / FAX: (916)5654356 0 <br /> 91 00 � 00 � � � U <br /> Sampler's signature: . <br /> � � � � � tai ,.. REMARKS j <br /> Sample Sample 4 1 1 6 4:243 4- Cootainern <br /> I.D. FDate Time I.D. Matrix <br /> NP ffiSO4 HCl NP HNO3 NaOH Preservations. <br /> S-1 pilo water163 3 6S_z !�a water 16 1 3 3 6 1 1 1 <br /> RELINQUISHED BY BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X L Routine Report <br /> 24 ht 48 hr 5 day II. Report(includes DUP,MS <br /> 3i Signature Signsturo standud(>0.13 Watkins Sys) MSD,as required,may be <br /> Printed Name Ptwdde VeAdPn imbuyxa�a charged as samples) <br /> d Name Name Printed Name ' III.Data Validation Report <br /> y i p� Ptovido FAXFtahulb eryR�utb <br /> (includes All Raw Data) <br /> Firm Fide itorod Date: <br /> �— F' X RWQCB <br /> 5f 4w i:'"� IDia/PQlsn'RACM <br /> Date/Tin- (Z$�o Data/Tim DateJrmte Datell'ima Container Types Rey: <br /> RELINQUISHED BY RECEIVED BY Spedal in�strcdons/Commer►ts:_ Sequoia Analytical 40 mi VOA 1 <br /> Signature Signature please report NIDI&,PQJ s mad,lace. 819 Striker Avenue,Ste.8 250 ml LPF: 2 <br /> Nitrato-Nitrogen has a 48-hr hold time. Sacramento, 95834 500 ml DPE: 3 <br /> 916-921-96000 I]iterHDPE: 4 <br /> Printed Name- Printed Name Metals: Ca,Mg, Na,�N A Sb,Ba,Be,Cd,Cr,Co, Ron Chew 500 mi glass: 5 <br /> 1 liter glass: 6 <br /> Firm . Firm Cu,Ag,Sn,V,Zn,Fe,Mn,As,Pb,Hg,Ni,Se,Tl <br /> 8260 Analysis to be dome in the Sado Lab only. 2x6&Is ring: 7 <br /> glassjar: $ <br /> DaWrnne DaielJ lme <br />