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CHAIN OF CUSTODY/LABORAT Y ANALYSIS REQUEST FORM Page _ <br /> ,el P.O. Direct bill to San Joaq ounty <br /> 180 Promenade Circle Suite 320 Sacramento,Ca 95834 Lab: BC Labs,Bakersfield <br /> Project Name: Corral Hollow LF,San Joaquin County Analysis Re uested <br /> Project Number: 139881 -, <br /> 5-YR COC Event for new wells 9A,10A,I 1 o 4 <br /> Report to: Sheila Richgels (916-565-4327) A03 <br /> .2 <br /> °' U 0 o <br /> <sheila.richgels@sbawgrp.com> b ° °q w <br /> CC Report to: Jody Rhoades(916-565-4362) o v, ; -Z W® w 0 x o b H <br /> <jady.rhoades@shawgrp.com> w o W D c W ET-1 <br /> ° A <br /> 0 o RO O N <br /> Sampler's Signature: L z eq <br /> e 0Cli Ea 00 <br /> O rn n U U IREMARKS <br /> Sample 2012 LAB SampleLiter LPE VOA 500m1 500 GIs Liter GLASS 250mi 500m1 500ml Container Types <br /> I.D. Date Time I.D. Matrix NP HCl HNO3 H2SO4 NP NP NaOH Pres. Preservations <br /> ,MMW-9A J Zl ' water 13 1 3 1 1 4 1 1 1 <br /> MW-10A water 13 1 3 1 1 4 1 1 1 <br /> MW-11A 17" water 13 1 3 1 1 4 1 1 1 <br /> r a NO 03 Op S` <br /> D 06 BOD MBA <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X L Routine Report <br /> Signatur, Si re Si e Sign tune 24 hr _481w —5 day 11. Report(includes DUP,MS <br /> c1 �0 ✓ X Standard(-10-15 worldna days) MSD,as required,may be <br /> Printed&me Print Name P' dN a Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Mmek. j z /30 C/5' Provide FAX Preliminary Results III Data Validation Report <br /> Firm Firtu F u/ Firm Requested ReportDate: (includes All Raw Data) <br /> Shaw Environmental X RWQ' <br /> Date/Time 1. DateJTime ' 2l' Date/time 2. 9-- Date/Time 5 a 6,30 (NfDLs/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> Please report MDLs,PQLs,and Trace. BC Labs-Tina Green 40 ml VOA: 1 <br /> Si tore 5i e 4100 Atlas Court 250 ml LPE: 2 <br /> Nitrate Nitrogen has a 48-hr HOLD TIME. Bakersfield,Ca 93308 500 ml LPE: 3 <br /> Printed NaYmc tP—rinteq e Chrom VI has a 24-br HOLD TIME 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> / Field Filter Metals. Ship via UPS Acct 965376 500 ml glass: 5 <br /> **Metals: Al,Sb,Ba,Be,Cd,Cr,Co,Cu,Ag,Sn,V,Zn, BC Lab Courier: I liter glass: 6 <br /> Fl /' Fe,Mn,As,Pb,Hg,Ni,Se,Ti,Ca,Mg,Na,K. Ross Dickey @ 661-201-4171 2x6 s/s ring: 7 <br /> Date/Time6 -�L�-t Z • glass jar: 8 <br /> Ad-_ e fA.AV1/1 171 17 A <br />