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CHAIN OF CUSTODY /LABORA Y ANALYSIS REQUEST FORM Page <br /> Shaw Environmental P.O.No: Direct Bill San Joaquin County <br /> 1326 North Market Boulevard Sacramento CA 95834 Lab: BC Labs Bakersfield <br /> Project Name:Foothill Landfill,San Joaquin County Analysis Re nested <br /> 3rd Quarter Sampling 2010 9 <br /> Project Number: 139867 (Surface Water) <br /> Report to: Sheila Richgels,Shaw Environmental �q <br /> <sheila.richgels@shawgrp.com> 916-565-4327 b v b <br /> CC Report to: Jody Rhoades,Shaw Environmental o 00 <br /> <jody.rhoades@shawgrp.com> 916-565-4362 U be z w <br /> o <br /> Sampler's Signature: ; <br /> WF, z d <br /> a <br /> U vi o 0 <br /> O z U REMARKS <br /> Sample LAB Sample von Liter LPE 250m1 500mI Container Types <br /> LD. Date Time I.D. Matrix HCI NP Nr Preservations <br /> S-1 water 6 3 1 1 1 <br /> S-2 water 6 3 1 1 1 <br /> RELINQUISHED BY RECEI BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1. Routine Report <br /> Signature ignature Signature Signature 24 hr 48 hr _5 day II. Report(includes DUP,MS <br /> X Standard(-10-15 working days) MSD,as required,may be <br /> Printed Name Printed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Results III.Data Validation Report <br /> Firm Firm Finn Firm Requested Report Date: (includes All Raw Data) <br /> X RWQCB <br /> Date/Time Date/Time Date/Time Date/Time (MD Ls/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> BC Labs-Tina Green 40 ml VOA: I <br /> Signature Signature Please report MDLs,PQLs and Trace. 4100 Atlas Court 250 ml LPE: 2 <br /> Nitrate-Nitrogen has a 48-hr hold time. Bakersfield,Ca 93308 500 ml LPE: 3 <br /> Printed Name Printed Name 661-3274911/Fx:327-1918 1 liter HDPE: 4 <br /> Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm Finn Lab Courier: Ross Dickey 1 liter glass: 6 <br /> EDDs to<susau.waterman®shawgrp.com> 661-201-4171 2x6 s/s ring: 7 <br /> Date/Time Date/Time glass jar. 8 <br />