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® • • <br /> CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page_oF_ <br /> 9 P.O.# San Joaquin County P.O.#21356 <br /> ShQ" 180 Promenade Circle,Suite 320 Sacramento,CA 95834 Lab: BC Labs,Balcersrield <br /> Project Name: North County LF,San Joaquin County Analysis Requested <br /> 3rd Qtr 2012 Leachate <br /> Project Number: 139874 <br /> Report to: Sheila Richgels(916-565-4327) a <br /> <Shoila.Richgels@Shawgrp.com> o <br /> cc Report: Jody Rhoades(916-565-4362) c0 00 <br /> 0 <br /> <Jody,rhos des@shawgrp.com> 4. <br /> o <br /> Sampler's Signature. <br /> p A A REMARKS <br /> > u x <br /> Sample 2012 LAB Sample «; VOM L. LPI: 250 LPE 250 LPa I lCanininerTypes <br /> ,,:;: <br /> T.D. Date Time T.D. Matrix Hct NP HNO3 HzsO•l Preservations <br /> — L-1 8—t-1 1 b6N water 6 3 1 1 1 <br /> '7 L-3 I JA03 water 6 3 1 1 1 <br /> L-4 ,oto water 6 3 1 I 1 <br /> 'Wit—FT <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X L Routine Report <br /> Sign ( re Signa re Sign�i%)re 5lgnatura 2.1 Mr —48hr _s day Ii. Report(includes DUP,MS <br /> Standard(-10-I5 working days) MSD,as required,may be <br /> Pri t Name PrintNamp�` Printc Name 4 Printed Nn a Provide Varhsl Preliminary Results charged as samples) <br /> L ph fes- p�Ov Xgs—r �, Ry /,306 -e� PmrldePAN PrcllminaryResutts 11I.Data Validation Report <br /> Firm Firm firm / FirmRcquasted Report Date: (includes All Rmv Data) <br /> Slimv Environmental P) Itv BC!~ 'f3 13 <br /> L'C X RWQCB <br /> Dnlerl'imc 8—I-I Z- Dote/Timc . f2 Zf16 Dnterrime r v ( Dalefrime (MDLs/PQLq/TRACGN) <br /> RELINQUISHED BY RECEIVED BY Specbil Instructions/Comments: <br /> Report&IDLs,PQLs,and Trace. BC Labs-Tina Green <br /> Sig lure S ature 4100 Atlas Court <br /> o..,rye Bakersfield,Ca 93308 <br /> Printed Nan' nted ame 661-327-4911/Fs:327.1918 <br /> Ll70 Ship via UPS Acct 965376 <br /> Firm C / 1 Firm EDDs to<sustui.ivatermnn rt sltmvgrp.cnm> <br /> Daln/Timo -f-- m Z `n f <br />