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CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page_of_ <br /> P.O.No: Direct Bill San Joaquin County <br /> SfiaWo 180 Promenade Circle Suite 320 Sacramento CA 95834 Lab: BC Labs Bakersfield <br /> Project Name: Foothill Landfill,San Joaquin County Analysis Re uested <br /> Surface Water Sampling 2013 <br /> Project Number: 139867 (Surface Water) o <br /> Report to: Sheila Richgels,Shaw Environmental pa U <br /> <Sheila.rich gels@shawgrp.com> 916-565-4327 ,b <br /> CC Report to: Jody Rhoades,Shaw Environmental o 00 :S <br /> <jody.rhoades@shawgrp.com> 916-565-4362 U oz , <br /> o W vi , �' g <br /> Sampler's Signature: H w <br /> O v .d <br /> j REMARKS <br /> Sample 2013 LAB Sample VOA uterus zsot,d SOOtnI Container Types <br /> LD. Date Time I.D. Matrix HCl NP NP itNo3 Preservations <br /> S-1 water 6 3 1 1 1 <br /> S-2 water 6 3 1 1 1 <br /> RELINQUISHED BYR IVSD BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1. Routine Report <br /> Signature Signature Signature Signature 24 hr 48 hr s day 11. Report(includes DUP,MS <br /> X •Standard(-10-I3 working days) MSD,as required,may be <br /> Printed Name Printed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Results III.Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date: (includes All Raw Data) <br /> Shaw Environmental X RWQCB <br /> Date/Time Date/Time Date/Time Date/'rime (MDLs/PQLsfrRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> BC Labs-Tina Green <br /> Signature Signature Please report MDLs,PQLs and Trace. 4100 Atlas Court <br /> Nitrate-Nitrogen has a 48-hr hold time. Bakersfield,Ca 93308 <br /> Printed Name Printed Name 661-327-4911/Fx:327-1918 <br /> Ship via UPS Acct 965376 <br /> Firth Firm Courier: Ross 661-2014171 <br /> EDDs to<susan.waterman@shnwgrp.com> <br /> Datefrime Date/Time <br /> � ;i <br />