Laserfiche WebLink
i <br /> CHAIN OF CUSTODY/LA BORA Y ANALYSIS REQUEST FORM[ Page <br /> P.O.No: Direct Bill San Joaquin County <br /> Sht - \`?�`{S <br /> 280 Promenade Circle Suite 320 Sacramento,CA 95834 { � � Lab: BC Labs,Bakersfield <br /> Project Name: Foothill Landfill,San Joaquin County Analysis Re nested <br /> 3rd Quarter Sampling 2012 <br /> ProjectNuinber: 139867 (Ground Water) o <br /> Report to: Sheila Richgels,Shaw Environmental pq <br /> i<sheila.richgels@shativgrp.com> 916-565-4327 'S alit U <br /> CC Report to: Jody Rhoades,Shaw Environmental c � B <br /> f<jody.rhoades@shawgrp.com> 9 -565-4362 U -4 ;a an <br /> `S z <br /> o W 0 W e6 <br /> Sampler's Signature: V Z dAALLA— <br /> pr'3 i5' <br /> I > d c�� 2 E�' REMARKS <br /> Sample 2012 LAB Sample ;: VOA Liter LPE 250ral 5001nl Container Types <br /> I.D. Date Time I.D. Matrix Ftcl NP NP KNO3 Preservations <br /> MW-1 water 6 3 1 1 1 1 <br /> MW-2R ��;�`�� rpt water 6 3 1 1 1 C K 1ST'18 TION <br /> MW-3 -145"r 3) water 6 3 1 1 1 <br /> MW-�F +�y ��1`� water 6 3 1 1 1 S 1B- U1 <br /> MW-5 '7105- 4'11 -t water 6 3 1 1 I <br /> IP LW-1 � tZ. water 6 3 1 1 1 <br /> Field Blank '- N Ili water 2 2 , HOT G TIME <br /> Trip Blank N I`1 water 2 2 1Cr' 1402 [O.d OP SS <br /> D0 0 a OC P413AS COT <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1. Routine Report <br /> Sign c Si um Sign re Signafure ?a M as hr _5 day 11. Report(includes DUP,MS <br /> 4 lGt e 'r }70 ,L X Standard(-1a-15worldngdays) MSD,as required,may be <br /> Prin Nomet Pri d Name �}Cl l Prin d Namc Printed Nama / ] Provide Verbal PreamittaryResaits charged as samples) <br /> U��r1��flt r�r S [i1�'� SS fC y O t� A Prv�da-XXPreiiWaarynesulu Ill.Data Validation Report <br /> Firm Firm Firm�-� `� Firp RequestedReponDole. (includes All Raw Data) <br /> Shaw Environmental G C�,C C- J/ X RWQCB <br /> Datefrime`7, y`16, OL1 /13() Dnte/rimey1-,1r Date/Timc / (MDLs/PQLsfrRACEN) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> BC Labs-Tina Green <br /> SigpatureSianaturkPlease report A1DL.s,PQLs and Trace. 4100 Atlas Court <br /> Nitrate-Nitragen bits a 48-hr hold time. Bakersfield,Ca 93308 <br /> Printed Name ^ Printed N me 661-327-4911/Fs:327-1918 <br /> OG 6 Ad,n,-/ {_9Q—a 1 Ship via UPS Acct 965376 <br /> Firm Firm �� Courier. Ross 661-201-4171 <br /> L-4—b 1 c�7 EDDs to<susnn.watermnn n sltnwgrp.com> <br /> Date/Time ��� { t� Do - ( <br /> Wd <br /> 7.2 5 t� 2r,7 C) <br />