Laserfiche WebLink
CHAIN OF CUSTODY /LABORAISY ANALYSIS REQUEST FORM Page <br /> P.O.# San Joaquin County P.O421356 <br /> ® 180 Promenade Circle Suite 320 Sacramento CA 95834 Lab: BC Labs,Bakersfield <br /> Project Name: North County LF,San Joaquin County Analysis Requested <br /> 3rd Qtr 2012 Surface Water <br /> Project Number: 139874 <br /> Report to: Sheila Richgels(916-565-4327) <br /> <Sheila.Richgels@Shawgrp.com> N <br /> cc Report: Jody Rhoades(916-565-4362) o O° <br /> <jody.rhoades@shawgrp.com> v <br /> N <br /> Sampler's Signature: ; Q <br /> REMARKS <br /> Sample 2012 LAB Sample VOAs L LPE 250 LPE 250 LPE Container Types <br /> I.D. Date Time I.D. Matrix HCI NP BN03 H2SO4 Preservations <br /> S-1 water 6 3 1 1 1 1 <br /> S-2 water 6 3 1 1 <br /> RELINQUISHED BY RECEIVE RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Signature Si ature Signature Signature 24 hr �48 hr _s day II. Report(includes DUP,MS <br /> X Standard(-10-15 working days) MSD,as required,may be <br /> Printed Name Printed Na1ne Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Results Ill.Data Validation Report <br /> Firm Requested Report Date: (includes All Raw Data) <br /> Firm Firm Firm <br /> X RWQCB <br /> Shaw Environmental <br /> Date/Time (MDLs/PQLs/TRACE/I <br /> Date/Time Date/Time Date/Time <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> Report MDLs,PQLs,and Trace. BC Labs-Tina Green <br /> Signature Signature 4100 Atlas Court <br /> Bakersfield,Ca 93308 <br /> Printed Name Printed Name 661-327-4911/Fx:327-1918 <br /> Ship via UPS Acct 965376 <br /> Firm Firm <br /> EDDs to<susan.waterm an@shawgrp.com> <br /> Date/Time Date/Time <br />