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l <br /> CHAIN OF CUSTODY LABORATORY ANALYSIS REQUEST FORM Page_of_ <br /> P.O.No: Direct Bill San Joaquin County <br /> Shaw Environmental 1 <br /> 1326 North Market Boulevard Sacramento CA 95834 `U Ue Lab: BC Labs,Bakersfield <br /> I <br /> Project Name:Foothill Landfill,San Joaquin County Anal sis Rested <br /> Resample MW-3 only. <br /> Project Number: 139867 <br /> Report to: Sheila Riellgels <br /> Company: Shaw Environmental l <br /> <sheila.richgels a shawgrp.com> v a <br /> i <br /> DPh: (916)S6S-4327 / F ( <br /> Dir 916}S 5-43 <br /> w {` <br /> o °� ! <br /> Sampler's Signature: ° N <br /> u oo i <br /> Iy may, REMARKS <br /> Container Ty es <br /> Sample 2009 LAB Sample VOA <br /> I.D. Date Time I.D. Matrix HCI Preservations <br /> MW-3 p-11-twater 3` F 3 , <br /> ,I,Trip Blank 91-61-'tO V� water 3 3 l <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1. Routine Report <br /> Si t Si re Si re na u 24 hr as Isr 5 Ray TI. Report(includes DUP,MS <br /> X Standard(-10-I5 woddna days) MSD,as required may he <br /> P ed Nat P11 dNa a Pdt Name P'nt Rule Provide Verbal PrdimiaM Remits charged as samples) <br /> PMA11--VAX Prclirninary Results Ill.Data Validation Report <br /> Pin <br /> Fl <br /> FirmP RaluestedRepottDsie: (includes All Raw Data) <br /> F' X RWQCB <br /> Date(Cim ®� - (� (MDL.c/PQLs/TRACE#) <br /> Date/Time Date/time/ - t Date/time/tp. 1)l} Container Types Key: <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: 40 ml VOA: I <br /> BC Labs-Tina Orsett <br /> a Signature Please report MDLs,PQLs and Trace. 4100 Atlas Court 250 ml LPE: 2 <br /> Bakersfield,Ca 93308 500 ml LPE: 3 <br /> P' sed N e Printed ams 661-327-4911/Px:327-1918 1 liter HDPE: 4 <br /> Ship via UPS Acct 965376 500 ml glass: 5 j <br /> Lab Courier. Ross Dickey 1 liter glass: 6 <br /> Firm Firm <br /> EDDs to<susan.ivatcrman« hawgrp-com> 661-201-4171 2x6 s/s ring: 7 <br /> lass'ar. 8 <br /> Dat Q L Dat-Time t1 <br /> i <br />