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CHAIN OF !1Y / LABORATOREQUEST!R <br />ti1,awEnWronnie,rtai <br />1326 North Market Boulevard Sacramen CA 95834 <br />Project Name: Foothill Landfill, San Joaquin County <br />Project Number: 124591 (Lysimeters) <br />Anal <br />P.U. No: Direct Bill San Joaquin County <br />Lab: CAS, Simi Valle <br />Requested <br />Report to: Sheila Richgels <br />Company: Shaw Environmental Cd <br />Address: 1326 North Market Boulevard N <br />Sacramento, CA 95834 <br />Dir Ph: (916) 565-4327 / FAX: (916) 565-4356 c o <br />Sampler's Signature: <br />9 F+ <br />Sample LAB Sample VOA <br />I.D. Date Time I.D. Matrix Ra <br />a <br />LLM <br />NPNP <br />a <br />'a <br />z� <br />250m1 <br />W <br />500zd <br />HUO3 <br />REMARKS <br />container DM <br />Preservations <br />LZ -01 <br />water 6 3 <br />1 <br />1 <br />LZ-02 <br />water6 3 <br />1 <br />1 <br />I Z-03 <br />water 6 <br />1 <br />1 <br />L Z-04 <br />ter <br />1 <br />1 <br />1 <br />r <br />RELINQUISHED BX BY <br />RELINQUISHED BY <br />RECEIVED BY <br />TURNAROUND REPORT REQUIREMENTS <br />Signature <br />Signature <br />REQUIREMENTS X <br />24 hr astir 5 dey <br />L Routine Report <br />II. Report (includes DUP, MS <br />Signature ignatore <br />Printed Name Printed Name <br />Printed Name <br />ted Name <br />X <br />standard (-10.15 worxmgde)s> <br />Provide VMWPriftoweryResults <br />MSD, as required, maybe <br />charged as samples) <br />FirmFiatl <br />Firm <br />Date/15me <br />Firm <br />Date/rime <br />ProddeFAX ArellruhwyResults <br />Regneskd RepatDete: <br />XRWQCB(MDI,s/pQLs(fRACE�} <br />III. Data. Validation Report <br />(includes All Raw Data) <br />Dateffime Datelrime <br />RELINQUISHED BY RECEIVED BY <br />Special Insiractions/Comments: <br />Please report MDLs, PQLs and Trace. <br />has a 48 -hr hold time. <br />IDDs to<ansan.waterman@sha�vgrpcom> <br />Columbia Analytical <br />2655 Park Center Drive, Suite A <br />Sind Valley, CA 93065 <br />805-526-7161/Fx 805-526-7270 <br />Contact: Karen Ryan <br />UPS Acct 9653131 <br />Container Types Boy: <br />40 ml VOA: <br />250 ml LPE: <br />500 ml LPE: <br />1 liter HDPE: <br />500 nil glass: <br />1 liter glass: <br />2x6 sls ring: <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />Signature Signature <br />PrintedNitrate-Nitrogen <br />N Printed Name <br />Pima Firm <br />DatwTmie Date rime <br />glass jar. <br />8 <br />® ® ® ® ® i ® ® ® ®......._......._.®..........®.....,. <br />