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CHAIN OF CUSTODY / LABORA Y ANALYSIS REQUEST FORM <br />P.O.# <br />Page <br />—0— <br />RC i,ahc- RalcPrclDeid <br />,%a/li W{4K®' A V V A I V AA.I...1114 e <br />ProjectNaine: North County LF, San Joaquin County <br />_ <br />Analysis Requested <br />1st Qtr 2013 Lysimeters <br />T, <br />Project Number: 139874 <br />0 <br />Report to: Sheila Richgels <br />Pq <br /><Sheila.Richgels@Shawgrp.com> <br />p <br />cc Report: Jody Rhoades (916-565-4362) <br />Cd <br /><jody.rhoades@shawgrp.com> <br />o <br />b <br />b <br />' z <br />H <br />x <br />B Z <br />Sampler's Signature:UU <br />b <br />Q0 <br />O <br />Id o <br />U <br />H <br />U <br />U <br />REMARKS <br />Sample <br />2013 <br />LAB <br />Sample <br />VOAs <br />250 LPE <br />L LPE <br />250 LPE <br />250 LPE <br />500 LPE <br />Container Types <br />HCI <br />NP <br />NP <br />HN01 <br />H2804 <br />HNO3 <br />Preservations <br />I.D. <br />Date <br />Tone <br />1.D. <br />Matrix <br />VZ -01 <br />water <br />8 <br />3 <br />1 <br />1 <br />1 <br />VZ-02A/B <br />water <br />8 <br />3 <br />1 <br />1 <br />1 <br />VZ-03AB <br />water <br />8 <br />31 <br />1 1 <br />1 <br />1 <br />1 <br />VZ-04A/B <br />water <br />8 <br />vi W1 <br />1 <br />1 <br />1 <br />VZ-05AB <br />water <br />8 <br />3 <br />1 <br />1 <br />1 <br />VZ -06 <br />water <br />8 <br />�..- <br />3' <br />1 <br />iH <br />V1 <br />VZ -07 <br />water-,, ` <br />8 <br />3 <br />1 <br />1 <br />1NU <br />1 <br />1 <br />VZ -08 <br />- water <br />8 <br />3 <br />1 <br />1 <br />1 <br />1 <br />1 <br />RELINQUISHED BY <br />RECEIV BY <br />RELINQUISHED BY <br />RECEIVED <br />BY <br />TURNAROUND <br />REPORT REQUIREMENTS <br />REQUIREMENTS <br />24 hr _48 hr _ 5 day <br />X I. Routine Report <br />II. Report (includes DUP, MS <br />Signature <br />ignature <br />Signature <br />Signature <br />X <br />Standard (--10-15 working days) <br />Provide Verbal Preliminary Results <br />MSD, as required, may be <br />charged as samples) <br />PrintedNzrrie <br />Printed Name <br />Printed Name <br />Printed Name <br />Provide FAX Preliminary Results <br />Requested Report Date: <br />III. Data Validation Report <br />(includes All Raw Data) <br />First <br />Firm <br />Firm <br />Firm <br />Shaw Environmental <br />I <br />X RWQCB <br />(MDLs/PQLs/TRACE#) <br />Date/Time <br />Date/Time <br />Date/Time <br />Date/Time <br />RELINQUISHED BY <br />RECEIVED BY <br />Special Instructions/Comments: <br />Report MDLs, PQLs, and <br />Nitrate -Nitrogen bas a 48 -hr <br />Trace. <br />hold. <br />BC Labs - Tina Green <br />4100 Atlas Court <br />Signature <br />Signature <br />Bakersfield, Ca 93308 <br />661-327-4911 / Fx: 327-1918 <br />Printed Name <br />Printed Name <br />Ship via UPS Acct 965376 <br />Firm <br />Firm <br />EDDs to <susan.waterman@shawgrp.com> <br />Date/rime <br />Date/Time <br />