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CHAIN OF CUSTODY/ LABORA Y ANALYSIS REQUEST FORM Page <br /> P.O.No: Direct Bill San Joaquin County <br /> ShdaWo 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 2013 <br /> v <br /> Project Number: 139867 (Lysimeters) <br /> Report to: Sheila Richgels,Shaw Environmental pa <br /> <sheila.richgels@shawgrp.com> 916-565-4327 oo <br /> CC Report to: Jody Rhoades,Shaw Environmental o00Cd <br /> <jody.rhoades@shawgrp.com> 916-565-4362 `� aa v , <br /> ' <br /> Sam lers Signature: v z �d <br /> p g � <br /> O V °p <br /> REMARK <br /> Sample 2013 LAB Sample Vo A LLPE 250m1 >-5001nt Container Types <br /> I.D. Date Time I.D. Matrix M HCI NP NP HNO3 Preservations <br /> LZ-01 water 6 3 1 .-1 1 <br /> LZ-02 water 6 3 1 1 1 <br /> LZ-03 water 1 6 3 r 1 1 1 <br /> LZ-04 water 6 3 r 1 1 1 <br /> ,r <br /> LID <br /> RELINQUISHED BY REC ED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> SignatureSignature Signature Signature 24 hr 48 hr _5 day II. Report(includes DUP,MS <br /> X Standard(-10-15 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 Finn Requested Report Date: (includes All Raw Data) <br /> Shaw Environmental X RWQCB <br /> Datefrime Date/Time Date/Time Date/Time MDLs/PQL,,rrRACE#) <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 /> Firm Finn Courier: Ross 661-201-4171 <br /> EDDs to<susan.waterman@shawgrp.com> <br /> Date/Time Date/Tirne <br />