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CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page_of_ <br /> Shaw Environmental ' tp� P.O.No: Direct Bill San Joaquin County <br /> 180 Promenade Circle Suite 320 Sacramento CA 95834 Lab: BC Labs Bakersfield <br /> Project Name:Foothill Landfill,San Joaquin County Analysis Re uested <br /> 1st Quarter Sampling 20111 .• <br /> Project Number: 139867 (Ground:Water) <br /> Report to: Sheila Richgels,Shaw Environmental Fq <br /> <shells.richgeis(a(a3shawgrp.com> 916-565-4327 v <br /> CC Report to: Jody Rhoades,Shaw Environmental <br /> <jody.rhoades@shawgrp.com> 916-5654362 U z *• <br /> Sampler's Signature: �b �� b <br /> pp <br /> 'Egli REMARKS <br /> Sample 2011 LAB Simple VOA Liter LPE 250tni 500rni lContainer Types <br /> I.D. Date Time I.D. Matrix s;t HCl NP NP HNO3 jPreservations <br /> MW-1 visit water 6 3 1 1 1 <br /> MW-2R u7 11 water 6 3 1 1 1F-9HUff-le rn <br /> MW-3 `.SWI 17"" 19 water 6 3 1 1' 1 I Cr'a N0p <br /> MW-4 <br /> water 6 3 1 1 1 DO 't B0 <br /> MW-5 )laq�el\ water 6 3 1 I 1 <br /> LW-1 water 6 3 1 1 1 .14 le <br /> Field Blank 1e'Xjl N, " water 2 2 i"" <br /> Tri2 Blank 11,V411 water 2 2 <br /> a <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY, RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Si tur Si re b Sig1 re natige 24 hr 48 hr• 5'day. II. Report(includes DUP,MS <br /> X Standard(-1e-15 working daps) MSD,as required,may be <br /> Prt Neme Pri d Nal Prigtgd N Printed Name Provide Verbal Prelindnery Results charged as samples) <br /> 1<! Provide FAX PreOmineryResults M Data Validation Report <br /> Fir L^ Fi Firm Firm Requested ReportDatei (includes All Raw Data) <br /> �i hj X RWQCB <br /> Date/Time / 0 Date/Time /f1130 Date/Time/,Z6 / e- MDLs/PQLs/TRACE# <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> BC3:abs-Tina Green 40 mi VOA: I <br /> 181pnetu Signature Please report MDLs,PQLs and Trace. 4100 Atlas Court 250 ml LPE: 2 <br /> Nitrate-Nitrogen Inas a 48-hr hold time. Bakersfield,Ca 93308 500 ml LPE: 3 <br /> nted me inted Nam 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> may, Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm Fimi; p Lab Courier. Ross Dickey t liter glass: 6 <br /> 'L EDDs t0<BI18An.1yaterman®shawgrp.com> 661-201-4171 2x6 s/s ring: 7 <br /> teClDate/Tim, ' glassjar: 8 <br />