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ShC CHAIN OF CUSTODY/LAB®RAT Y ANALYSIS REQUEST FORM Page *_ . <br /> P.O. Direct bili to San Joaquin County <br /> 180 Promenade Circle Suite 320 Sacramento Ca 95834 C{ Lab: BC Labs,Bakersfield <br /> Project Name: Corral Hollow LF,San Joaquin County Analysis Requested <br /> 2nd Qtr 2012 Ground Water <br /> Project Number: 139881 <br /> Report to: Sheila Richgels,Shaw Environmental a <br /> <sheila.richgels@shawgrp.com> 916-565-4327 <br /> CC Report to: Jody Rhoades,Shaw Environmental o A b <br /> <jody.rhoades@shawgrp.com> 916-565-4362 U � 0 <br /> 1 z 9 N <br /> Sampler's Signature: rpn <br /> E U b REMARKS <br /> Sample 2012 LAB Sample L.LPE 250 LPE 40.9VOAs Container Types <br /> I.D. Date Time I.D. Matrix rrP NP HCl Preservations <br /> MW-4 -V ti� water'.. ::9:: 1 1 3 I IE3U 10 <br /> 14 <br /> 2 MW-5 water 5 1 1 3 <br /> SB-1 `d`® water 5 1 1 1 3 <br /> MW-6 C11 to water 5 1 1 3 SUB-OSUB-O T <br /> Mur-7 'L71 water 5 1 1 3 <br /> Mur-8 Z-1 water 5 1 1 3 <br /> Field Blank 14 water 2 2 Cr+s (gyp <br /> Trip Blank' water 2 DO <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Signa tu Si a Sign re Si' a 24 hr �48 hr 5 day Z Report(includes DUP,MS <br /> ,/ U �-ri X standard(-10-15 working days) MSD,as required,may be <br /> Printed a Printed me P 'n dN8I�'�) Printed Name / I Provide Verbal Preliminary Results charged as samples) <br /> v� �"� `. S.v�{.-i .(� Y �CO Provide FAX Prellminary Results Illl.Data Validation Report <br /> Firm First Firm�� Firm ) L Requested Report Daia: (includes All Raw Data) <br /> Shaw Environmental L !�! X RWQCB <br /> Date/Time Date/Time /. ZIV (MDLs/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comment : Container Types Key: <br /> BC Labs-Tina Green 40 ml VOA: 1 <br /> Signpture S' tura Please report MDLs,PQLs,and Trace. 4100 Atlas Court 250 ml LPE: 2 <br /> [1 r✓ Nitrate Nitrogen has R 48-hr hold time. Bakersfield,Ca 93308 500 ml LPE: 3 <br /> Printed Name J Printed N e 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> t� CJ/t(�Z ****Incl m,p-xylene&o-xylene in 8260 results. Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm F� BC Courier: I liter glass: 6 <br /> L/t b EDDs to<susan.waterman@shawgrp.com> Ross Dickey @ 661-201-4171 2x6 s/s ring: 7 <br /> ate/Time JDete/Time 2 t �r I glassjar. 8 <br /> tY)w.+ ......_-. � ✓t r twln G of fPf 7 19.+ <br />