Laserfiche WebLink
i <br /> CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page_of w <br /> E�J P.O. Direct bill to San Joaquin County <br /> ga ; aW® 180 Promenade Circle Suite 320 Sacramento,Ca 95834 3 Lab: BC Labs,Bakersfield <br /> Project Name:Corral Hollow LF,San Joaquin County. Analysis Re uested 1 < r`I <br /> Project Number: 139881 c <br /> r 5-YR COC Event for new wells 9A,10A,I IA s e o � m <br /> a Report to: Sheila Richgels(916-565-4327) <br /> $ <sheila richgels@sbawgrp.com> m b 2 o o — o rL --I <br /> a CC Report to: Jody Rhoades(916-5654362) op ° D ,Ne x o e, wv z n `��° <br /> o <jody.rhoades@shawgrp.com> w v o w a ;� ,n .L;.�� 0 <br /> s o 0 o b o c ° U a°i O ✓r 0 v <br /> °N' y Sampler's Signature: ,�uu y , 2 E b 3 <br /> c c'O J7 s p T o 7 H O <br /> ti <br /> z rn U U U rn REMARKS 2. <br /> Sample 2012 LAB Sample Lite,LPE VOA 5001 500 GIs Liter GLASS 250m] 500m1 500m1 Container Types �+ <br /> I.D. Date Time I.D. Matrix N? HCl HNO3 x2SO4 NP NP xaox P... Preservations $ <br /> o t' <br /> 'a MW-9A Z5.21 `r° water 13 1 3 1 1 4 1 1 1 3 <br /> n ° <br /> MW-l0A water 13 1 3 1 1 4 1 1 1 <br /> a MW-11A 11' water 13 1 3 1 1 4 1 1 :.: 1 c <br /> 07W <br /> 61 7. <br /> UNN my <br /> lA <br /> reNO O OP S <br /> DE, CI BOD MBA c <br /> -n <br /> c RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> r, <br /> REQUIREMENTS X L Routine Report <br /> v S a Sigaatur Si re Si a Sign tore sa hr _49h, _say II. Report(includes DUP,MS <br /> y X Standvd(-1a-15 wor)ing days) MSD,as required,may be <br /> OD <br /> Printed a Printf Name Pri d N e Printed Name �� J Provide va 6a Pra m ne y nesul s charged as samples) <br /> MAW- 5� Z I A Provide FAX IILData Validation Report <br /> o Firm Firm 2 Fitm / Firm/2 / Requaa ea Repon nate: (includes All Raw Data) <br /> Shaw Environmental k�G /� /✓C ,b X RWQCB <br /> w Date/Time 1. Date/Time ' Zl z l Date/Time 5, rL� Datefrime U WLs/PQLsnRACE#) <br /> N t 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 Si 4100 Atlas Court 250 ml L.PE: 2 <br /> a Nitrate Nitrogen has a 48-hr HOLD TIME. Bakersfield,Ca 93308 500 ml LPE: 3 <br /> I? <br /> o Printed Nalue Printed NaMe Chrom VI has a 24-hr HOLD TD14E 661-3274911/Fx:327-1918 1 liter HDPE: 4 <br /> Field Filter Metals. Ship via UPS Acct 965376 500 ml glass: 5 <br /> aFirmf F` **Metals: AI,Sb,Ba,Be,Cd,Cr,Co,Cu,Ag,So,V,Zn, BC Lib Courier: I liter glass: 6 <br /> L 6 U c- Fe,Mn,As,Pb,Hg,Ni,Se,TI,Ca,Mg,Na,I{. Ross Dickey(a3 661-201-4171 2x6 s/s ring- 7 <br /> 6' Date/Time .� / Date/Cim --L—t glass jar. 8 <br /> It <br /> 91 <br /> 17 117 A <br /> v � <br /> m <br /> CD <br /> CD <br /> W <br /> 0 <br /> 4 <br /> O <br />