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CHAIN OF CUSTODY/L.ABORAMY ANALYSIS REQUEST FORM Pag <br /> P,O.# San Joaquin County P.tT�21356 <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 /> 1st Qtr 2012 Ground Water <br /> Project Number: 139874 0 <br /> Report to:Sheila Richgels(9..16-565••4327) U PZ <br /> <Slieila.Richgels@Shawgrp com> w <br /> cc Report: Jody Rhoades(916-565-4362) o a' „ y <br /> <jody.rhoades rr shawgrp.com> U Q w z •• <br /> b <br /> Sampler's Signature: <br /> P <br /> > U H ._ fo U REMARTCS <br /> Sample 2012 LAS Sample y„ VOAs 250 LPE L LPF 250 LPE 250 LPE 500 LPE Container Types <br /> ].D. Date Time T.D. Matrix lace Nr NP it3a03 112so4 rirt03 Preservations <br /> ✓ G-1 1-9-12. 12.i ' water 8 3 1 1 1 1 1 <br /> water <br /> —� G-3DG'`; water 8 3 1 1 1 1 1 1 <br /> —?j <br /> 04 l-10 TL 1 col water 8 3 1 1 1 1 l <br /> water <br /> --q (3-6 water 8 3 1 1 1 1 1 <br /> 61 <br /> .� Field Blank 7. Nliq water 2 2 +e Inp 9S <br /> Trip Blank 1'1D-1'L N water 2 2 <br /> T IUIN 2 <br /> RELiNQUISHRD 13Y RECEIVED BY RELINQUiSHED BY t C D RN MOUND REPORT RCQUIRLl4ENTS <br /> SL)13-C)JY EgliQU1OWENTS X I. Routine Report <br /> Sign re Sign re Sign e ^ 5ig tore 24 hr -_d8 Br �5 day 11. Report(includes DUP,MS <br /> X Standard(-10.15 working days) MSD,as required,ma}�be <br /> Pri t Name� 1 I'ri t d Name Printed Name Printed Name / 7 Provide Verbal Preliminary IlesulV charged as samples) <br /> APL b ! C Q�S _p{/ t�}���f , o L.)7A) Provide FAX Preliminary Resrdis Ill.Data Validation Report <br /> Firm vim, Firm Firm / C Requested Report Date: (includes Ali Raw Data) <br /> Shaw Environmental �G 13 �j C �/ X RWQCH <br /> Date/time Da1cMme/-/ -/� /. (MD l s/PQLs/rRACEN) <br /> Datc/I'imc 1^1D-1'Z„ /137 aDate/time -/p, /� /•/V• ' �� <br /> RELINQUISHED BY RECEIVED BYSpecial Instructions/Comments: Container Types Key: <br /> Report A-IDLs,PQLs,and Trace. BC Labs-Tina Oreen 40 ml VOA: I <br /> Silure 5' natur Nitrnte-Nitrogen has a 48-hr hold. 4100 Atlas Court 250 ml LPE: 2 <br /> YT ,o Bakersfield,Ca 93308 500 nil LPE: 3 <br /> Printed Nnme / P intcd. me 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> Jm� Bir6,qdI Ship via UPS Acot 965376 500 ml glass: 5 <br /> Finn pi,m } 1 liter glass: 6 <br /> /3Clj s 1� EDDs to<susnn.watermnn®sltnwgrp.com> 2x6 s/s ring: 7 <br /> Date/time -/0-/Z- C7� DItoA "�2 l glassjar: 8 <br />