Laserfiche WebLink
CHAIN OF CUSTODY/LABORAT*' ANALYSIS REQUEST FORM Page <br /> P.O,No: Direct Bill San Joaquin County <br /> Shf-IW® 184 Promenade Circle Suite 324 Sacramento CA 95834 I�j'b �� Lab: BC Labs 13rikerstleld <br /> Project Name: Foothill Landfill,San Joaquin County Analysis Re uested <br /> 1st Quarter Sampling 2013 <br /> Project Number: 139867(Leachate) o <br /> Report to: Sheila Richgeis,Shaw Environmental <br /> <silellu,richgelsQshuivgrp.com> 916-565-4327 <br /> CC Report to: Jody Rhoades,Shaw Environmental c � c � �` m <br /> <Jody.rhondes shawgrp.com> 916-565-4362 <br /> q ; on rn r cep 2 <br /> Sampler's Signature: /� I z b <br /> .!.{I/ <br /> a — V REMARKS <br /> sample 2013 LAB Sample L LPC xsntnt snnntt van Container Types <br /> I.D. Data Time 1,D, Matrix Ni' Nr I-IN03 llct Prescrvolions <br /> L-01 water 6 1 1 1 3 <br /> vT <br /> ORT Helkii1tHe Tim <br /> +6 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUiREMENTS X I. Routine Report <br /> Si lar <br /> Si q>itre Sign i o Signa 141,r 48 lir _s day 11. Report(includes DUP,MS <br /> C X SinndnrJ Ie-IS rvorking dn7n) MSD,as required,may be <br /> Pri d Nome Pril d Nnm Print Nume Printed Name Pro,tlda Ver6n1 Preliminary Rceuis C11af�Cd a9 SnnmplC5) <br /> / G 5 L a D r+A.) Provide)��.N Preliminnrynaauaa ill.Data Validation Report <br /> tN tz� Piet Pirm firm neauesird Rupert Data: (includes All Raw Dula) <br /> Firm _ n/ Sf C— b X RWQCB <br /> Show Environmental l L /.� / �� (MDLs/PQLsrrRACEN <br /> Dnlerrintc Z-5-t3 t Duterl'ime pt t /3 /U baterrinte 2'j 3 Woo Daterrime -_,y-• <br /> Container Types lacy: <br /> RELINQUISHED BY RECEIVE, BY Special insiruStianslCammgnls: <br /> E <br /> BC Labs-Tinu Green 40 ml VOA: I <br /> Sigm u c Signatur Please report MI)Ls,PQLs and Trace. 4100 Atlas Court 250 ad LPE: 2 <br /> Nitrate-Nitrogen has n 48-hr bold time. Bakersfield,Cu 93306 500 nil LPC: 3 <br /> 661-327-4911/ x:327-1916filiter HDPE: 4 <br /> Printed Name Printed Na e <br /> k `Op 3c�a c��5� Ship via UPS Accl fill 500 ,l gloss: 5 <br /> !✓ Couricr. Ross 661-201-4171 I lilerglass: 6 <br /> Firm Firm <br /> EDDs to<susnn.,vntcrnnr(n7shnwgrp.eom> 2s6 s/s ring: 7 <br /> gl ass Jar: 6 <br /> Dnterrime a,-5-/ �Datcrfinte�• � ( X30 <br />