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0 <br /> CHAIN OF CUSTODY LABORAT& ANALYSIS REQUEST FORM Page_& <br /> Shaw Environmental 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 Anal sis Re uested <br /> 1st Quarter Sampling 2011 <br /> Project Number: 139867 (Lysimeters) <br /> Report to: Sheila Richgels,Shaw Environmental pq P C _ <br /> <sheila.richgels@showgrp.com> 916-565-4327 %02 a '$ <br /> CC Report to: Jody Rhoades,Shaw Environmental 00Go 4 <br /> <jody.rhoades@shawgrp.com> 916-565-4362 <br /> w W o U <br /> o ' ai <br /> Sampler's Signature: <br /> p rn o Z .. <br /> 1 A0 <br /> aj °p is I I I I I IREMARKS <br /> Sample 2011 LAB Sample VOA L LPE 250ml 500mi I Container Types <br /> I.D. Date Time I.D. Matrix Hcy NP N HNO3 Preservations <br /> LZ-01 water 6 3 1 1 1 <br /> LZ-02 water 6 3 1 1 <br /> LZ-03 I water 6 1 1 <br /> LZ-04 wa 1 k1 1 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND [REPORT REQUIREMENTS <br /> REQUIREMENTS I. Routine Report <br /> Signature Signature Signature Signature 24 hr _48 hr �5 day I1. Report(includes DUP,MS <br /> X Standard(-10-15 working days) MSD,as required,may be <br /> Printed Name Printed Na1ne Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Results III.Data Validation Report <br /> Firm Finn Firm Firm Requested Report nate: (includes All Raw Data) <br /> X RWQCB <br /> Date/Time Date/Time Date/Time Date/Time (MDLs/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 m1 LPE: 2 <br /> Nitrate-Nitrogen has a 48-hr hold time. Bakersfield,Ca 93308 500 ml LPE: 3 <br /> Printed Name Printed Name 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm Firm Lab Courier: Ross Dickey 1 liter glass: 6 <br /> EDDs to<susan.waterman@shawgrp.com> 661-201-4171 2x6 s/s ring: 7 <br /> Date/Time IDatefFime I glass jar: 8 <br />