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CHAIN OF CUSTODY /LABO RY ANALYSIS REQUEST FORM Page � <br /> 1 2.-0c)) ,p 1 S P.O.No: Direct Bill San Joaquin County <br /> Sfraw 1.80 Promenade Circle Suite 320 Sacramento CA 95834 Lab: BC Labs,BalccrsGeld <br /> Project Name; Foothill Landfill,San Joaquin County Analysis Re uested <br /> let Quarter Sampling 2012 <br /> ProjectNumber: 139867 (Ground Water) 4 <br /> Report to: Sheila Richgeis,Shaw Environmental <br /> <sheila.ricbgels@shawgrp.com> 916-565-4327 <br /> CC Report to: Jody Rhoades,Shaw Environmental o 00 � Zr. <br /> � <br /> U CU <br /> <jody.rhoades@sllawgrp.com> 916-565-4362 z <br /> _ ca <br /> lj�� a <br /> lL'r o W b 06 <br /> Sampler's Signature: n z -e z <br /> n U t . <br /> w <br /> O 2U REMARKS <br /> Sample 2012 LAB Sample von Liter LPH 250n,t 5Dom1 Container Types <br /> I.D. Date Time I.D. Matrix tier NP NP HNO3 Preservations <br /> wnter <br /> a <br /> MW-4 1-11-17. [0Zy 4 water 6 3 1 1 ] <br /> wafer <br /> LW-1 '. I-l1"12 1°r° water 6 3 1 1 i - .:..r,--.:..... — " <br /> iMiter 2 —7 <br /> r a 2 <br /> _EOD—WAS C01 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BV RECEIVED BY TURNAROUND REPORT RE,QUIREtYIENTS <br /> REQUIREMEN ITS X_1. Routine Report <br /> Si tali Sit� c Signatfgre Signature 24 Iv 14sh _ Il <br /> r 5 day H. Report(includes DUP,MS <br /> ' ' c e rJ CO, �1 /'�r� X standard(-10.15 wntklny days) MSD,as required,may be <br /> led Na to I'dd Name , Prin�d Name Printed Name Provide verbal Preliminary Results charged as samples) <br /> vl I $ C7 0�13AJ Provide FAX Preliminary Results III.Data Validation Report <br /> Pim) Firm Firm Firm Requested Repan arae: (includes All Raw Data) <br /> Show Environmental C. ,� C_ � b �- X RWQCB <br /> Date(Time 1-®1-1L` Dalc�iintc / ,& 13 Z Datcrfime (. Dale/Timc - _/.2 / fl (MDLs/P Ls/TRACEl1) <br /> RELINQUISHED BY RECEIVED BY Special Instructions! nmrncnts: <br /> BC tabs-Tina Green <br /> Signature Si nature Please report AIDLs,PQLs and Trace. 4100 Atlas Court <br /> Md'Ut Nitrate-Nitrogen has a 48-hr hold time. 0okersfteld,Ca 93308 <br /> Rated NAnc P tedr Na 661-327-4911/Fs:327-1918 <br /> n n/i ,.V Ship via UPS Acct 965376 <br /> Firrd Firm: n <br /> bL.iL.J EDDsto<susan.rrnterntnnQnshmvgrp.cont> <br /> Dalc/Time MERL -7— <br /> izz�ieve <br />