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CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page_of` <br /> Shaw Environmental `` -- P.O.No: San Joaquin County P.O.#21356 <br /> 1326 North Market Boulevard,Sacramento,CA 95834 s l�J Lab: BC Labs,Bakersfield <br /> Project Natne:Foothill Landfill,San Joaquin County Anal sis Requested <br /> Addl parameters for 5-YR COC /Leachate Module <br /> Project Number: 124591 <br /> Report to: Sheila Richgels(916-5654327) c �^ <br /> <sheila.richgels@shawgrp.com> <br /> cc Report to: Jody Rhoades(916-5654362) <br /> <jody.rhondes@sltawgrp.com)Paw <br /> o 1�� USamplers Signature: - LA <br /> REMARKS <br /> Sample LAB ample 500 GIs 500ml 500m1 500ml L GIs Container Typos <br /> I.D. Date Time I.D. Matrix Na0H HNO3 NP Preservations <br /> L-O 1 �t water 10 1 1 1 1 ' <br /> K B Y ; <br /> l ---t <br /> . .. -+wit.•,..+-....:n a._,,,..,,,,..--................ <br /> REIN <br /> E NQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENT'S <br /> REIN <br /> REQUIREMENTS X I. Routine Report <br /> Si lu <br /> Si, to Si+ S'+Hutu 541a _4a la _5 day 1I. Roport(includes DUP,MS <br /> Cd''CY stagy.d f-to.t5 workiva days) MSD,as required,may he <br /> d Num Pri Na Prin Name , P' ed no pnwide Verbal Preihahmry Results charged as samples) <br /> L ID. J d s S �G' SS /C P-1,10 rAXPreli ahwry Rmlta III.Data Validation Report <br /> Fi D+ ri VFin Firm �/ Retpm-Aed Report Wet (includes All Raw Data) <br /> 1 g 1 t J.... X RWQC8 <br /> Date/Time(5::d $—Date/Time k113� (MLa/TRACEH) <br /> RELINQUISHED BY RECEIVED BY Special hist ctious/Comments: Container,rypea Key: <br /> REFER TO Table VI ATTACHED for 5-YR Parameters. BC Labs-Tinu Green 40 in)VOA: 1 <br /> ate <br /> Sign I" Please report MDLs,PQLs and Trace. 4100 Atlee Court 250 ml LYE: 2 <br /> Bakersfield,Ca 93308 500 nil LPE: 3 <br /> Printed N c Printed Name 661-327-49111 Fx:327-1918 1 liter 1-IDPE: 4 <br /> Metals: Al,Sb,Ba,Be,Cd,Cr,Co, Sbip vin UPS Acct 965376 500 ml glass: 5 <br /> Finn Finn Cu,All,Sn,V,7n,Fe,Mn,As,Pb,Hg,NI,Se,Tl Field Support: Peter Bins 1 liter glass: 6 <br /> EDDa to Gvusan.*.vatermnu@siwwgrp.com> (408)391-2942 2x6$/a ring: 7 <br /> Date/Tim Date/Time 9SIJ6 Z1/5glass jar. 8 <br />