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CHAIN OF CUSTODY LABORATORY ANALYSIS REQUEST FORM Page—of— <br /> Shaw Environmental P.O.No: San Joaquin County P.O.021356 <br /> 1326 North Market Boulevard,Sacramento CA 95834 ( }" 1 i "1 Lab: BC Labs,Bakersfield <br /> Project Name:Foothill Landfill,San Joaquin County Anal is R uested <br /> Project Number: 124591 (Ground Water) <br /> Report to: Sheila JRichgels Q <br /> Company: Shaw Environmental � � ;; .� U <br /> 2 <br /> Address: 1326 North Market Boulevard � � z q <br /> Sacramento,CA 95834 U d z <br /> Air Ph: (916)!565-4327 / F (916)565-4356 o w U' OB 42 <br /> Sampler's Sibwature: °� v <br /> 2 > U REMARKS <br /> Sample 2009 L7M Sample VOA LiterLPB 2501111 lConfainarTypos <br /> I.D. Date Time I.D. Matrix HCl NP NP HNO3 JPreservotions <br /> MW-4 Llcfj water 6 3 1 1 1 <br /> Trip Blank Gy-` '� water 2 2 <br /> U 111 <br /> s <br /> --- — 7 t <br /> RELINQUiSMED BY RECEIVED BY RELINQUISIIED BY RECEiVED BY TURNAROUND REPORT ItLQtIIItLrNiF.N'rS <br /> REQUIRE,NIENTS X 1. Routino Report <br /> Signa Sip lure Sig u li lit 41 to ®s cloy It. Roporl(inuludcs DUP,MS <br /> ;�f1 r �/ X SYao bud t-lo.l s.utu,s dural MSD,as required,may he <br /> Printed me } PH d Name ri d Neill ed laic Pnwitk WOW Prclinihaay Resuas charged as samples) <br /> tZ / !�1 1 r- �+ l (.,1 r_Prwidel'A.XPndivanaryRasu0.a 111.DetuValidation Report <br /> Firm15? �' Finn Ft �J Film �Ruque.Aml uel.+a Date: (includes All Raw Data) <br /> {'.� X RWQCB <br /> (MDLsrnQLa/TRACEff) <br /> DatePrimo Dte/Tio 1G / Dutc/Time�iS <br /> RuINQUISIILD BY RECEIVED BY Special Insn•aetlans Comments: Container Types Key: <br /> BC Labs-Tina Green 40 tail VOA: 1 <br /> S' tt ra q� SiS ulu Please report MDLs,PQi s and Truce. 4100 Atius Court 250 ml LPE: 2 <br /> �,c j 1.-•- Nitrutc-Nit rogen has a 48-hr hold lilac. Bukeraliold,Cu 93308 500 nil i..PE: 3 <br /> Pyiryte nc PrintdNamo 661-327-4911/Fx:327-19 t 8 1liter FIDPLr: 4 <br /> %(kG Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm Finn Field Support:-Fetor Bins 1 liter glass: 6 <br /> CEDDs to<susan.wuterntuu(Uushawgrp.com> (408)391-2942 20 s/s rine: 7 <br /> Date/ Date/Timo o glass jar. 3 <br />