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CHAIN OF CUSTODY /LABORA Y ANALYSIS REQUEST FORM Page <br /> P.O.# San Joaquin County P.O.#21356 <br /> Sha ® 180 Promenade Circle Suite 320 Sacramento,CA 95834 Lab: BC Labs,Bakersfield <br /> Project Name: North County LF,San Joaquin County Analysis Requested <br /> Annual Surface Water Parameters <br /> b <br /> Project Number: 139874 0 <br /> Report to: Sheila Richgels(916-565-4327) CD <br /> x �; <br /> <Sheila.Richgels@Shawgrp.com> coo <br /> cc Report: Jody Rhoades(916-565-4362) o00 <br /> <jody.rhoades@shawgrp.com> v w 9 Q Z <br /> wW p <br /> o 00 <br /> No <br /> Z <br /> ;v <br /> Sampler's Signature: Qo o <br /> > H F v REMARKS <br /> Sample 2012 LAB Sample VOAs 250 LPE L LPE 250 LP 250 LPE 500 LPE Container Types <br /> I.D. Date Time I.D. Matrix HCI NP NP Je03 H2SO4 HNO3 Preservations <br /> S-1 water 8 3 1 1 1 1 1 <br /> S-2 water 8 3 1 1 1 1 1 <br /> AU Vz <br /> RELINQUISHED BY RE D BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Signature Signature Signature Signature 24 hr 48 hr _5 day II. Report(includes DUP,MS <br /> X standard(-10-15 working days) MSD,as required,may be <br /> Printed Name Printed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Results III.Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date: (includes All Raw Data) <br /> Shaw Environmental X RWQCB <br /> Date/Time Date/Time Date/Time Date/Time (MDLs/PQLs/TRACE#{) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> Report MDLs,PQLs,and Trace. BC Labs-Tina Green 40 ml VOA: 1 <br /> Signature Signature Nitrate-Nitrogen has a 48-hr hold. 4100 Atlas Court 250 ml LPE: 2 <br /> Bakersfield,Ca 93308 500 ml LPE: 3 <br /> Printed Name Printed Name 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm Firm I liter glass: 6 <br /> EDDs to<susan.waterman@shawgrp.com> 2x6 s/s ring: 7 <br /> ,Date/Time Date/Time L glass jar: 8 <br />