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n <br /> CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page—of— <br /> � a <br /> aP,Q.No:Direct Bill San Joaquin County °, <br /> y a ® 180 Promenade Circle Suite 320 Saermnell CA 9583.1 0� �t/ Lab: BC Labs,Bakersfield C M <br /> � Project Name:Foothill Landfill,San Joaquin County Analysis Requested ': o' <br /> t. <br /> s 1st Quarter Sampling 2012 p.3 0'+ <br /> § Project Number: 139867 (Ground Water) L °e <br /> o Report to: Sheila Richgels,Shaw Environmental n <br /> o q <sheila.richgeis@sliawgrp.coin> 716-565-4327 G �+ �o ? n o <br /> o CC Report to: .Judy Rhoades,Shaw Enrilonmental tj � � � � � v °o � <br /> s <jody.rhoades�shawglp.com> 916-3 5-4362 0 �4 y va 1,2•, S �• <br /> 0 a Sampler's Signature: <br /> d <br /> o <br /> o Z > z" U °..4 REMARKS <br /> e <br /> Sample 2012 L Sample VOA Liturl.PS L%Drel 500m1 ContuinerTypes c $ <br /> a I.D. Date Time I.D. Matrix } flet NP NP xrro3 Preservations <br /> a 1 MW-1 Ids"" water 6 1 3 1 1 1 c to <br /> CL <br /> a 3 ° MW-212 1-12-YL 80 <br /> water G 1 3 1 <br /> D <br /> (o rte, MW-3 I-11-12 q153 water G 3 1 1 1 N <br /> o <br /> 0 <br /> W co t w <br /> MW-5 I-IL-171 water G 3 1 1 1 <br /> + P IST <br /> Field Blllnk -12.12 N i4water 2 2 Ca <br /> Tri Blank 1-12-2- i•1 j�} water 2 2 0� <br /> 11 <br /> S.2 RE,LINQU1SI7ED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> �c 3 <br /> g REQUIREMENTS X I. Routine Repan <br /> Jo Signature Si arra Si•/ay�l^tru^ Si• taro :d to 44 lit �5 em• IL Report(includes DUP,MS <br /> b 7�-!:� f X 91Mdud c•lu•ts r Lev Any�) MSD,as required,may be <br /> wPrinted N i^u'- ( P ted Numu Prid Name Printed Numu � } rwvirL ve144 Prat ne rnrc tkndb churgud us samples) <br /> ff iT�L Qy� SS `s GAT ?�i�1�C) N id,FAX Pnliatinrn'n,du 1ILData Validation Report <br /> o.o Finn Firm Finny / Firm / R_ a on <br /> nu-M-d R-pai_: (includes A11 lbiv Data) <br /> Q H Shaw Environmental r C4 40 C L/�-b X RWQCB <br /> bate/Time �)�-1 ( pate/Iimu .'Z. 2 /L Dute/rfmu/•[2 /Z/�O D,de/Iime/-/�-7 0 (MDLs1PQLsrrRACEx) <br /> N RELINQUISHED BY RECEIVED BY Spechd InstivetformiXommcnta, <br /> S BC LAbs-Tina Crom <br /> 3 b�n <br /> Signature Si a Phase report hIDLs,P Ls and Trace. _,� •. <br /> -100Atlas <br /> Court <br /> Nitrnte-Nitrogen has a 4&hr hold thou. TION <br /> CHK By Bn erslieidCu 9 <br /> 3308 <br /> Printed NumPd <br /> I 661-327-4911/Fx:327.1918 <br /> Ship via LIPSAcet96537G <br /> Finn F V� SUB-OUT ED <br /> y C Lia'SPS G �Wy Ellik to tsuawLivntcrnrnn ll,ahmvgrp,com> --._.-_-�- <br /> �. Dput�u/(Cimu1-17, ) Lo Dalu/Ilme - (� <br /> �� � '17i VD 1-12-12 2202 <br /> 0 V- <br /> 4 <br /> � P <br /> N <br /> G) <br /> W <br /> to <br /> O_ <br /> N <br />