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CHAIN OF C(TSTODY/L.ABORA Y ANALYSIS REQUEST FORM[ Page <br /> P.O. Direct bill to San Joaquin County <br /> Sht 0 180 Promenade Circle,Suite 320 Sacramento, Ca 95834 \2^ 150ZIO Lab: BC Labs, Bakersfield <br /> Project Name: Corral Hollow LF,San Joaquin County Analysis Requested <br /> 3rd Qtr 2012 Ground Water i <br /> Project Number: 139881 <br /> Report to: Sheila Richgels,Shaw Environmental j <br /> <sheila.ricllgels@sliawgrp.com> 916-565-4327 3 <br /> CC Report to: Jody Rhoades,Shaw}environmental+ o -0 p <br /> <jody.rhoades@shnwgrp.com> 916-565-4362Pq <br /> Z. <br /> C 67 <br /> co <br /> Sampler's Signature: w <br /> Q U Fi REMARKS <br /> Sample 2012 LAB Sample ?> ? L.LPE 250 LPF lams Vons ContaincrTypes <br /> I.D. Date Time I.D. �Mafrix NP NP HCl Preservations <br /> MW-4 -]-Ito yy® -1 I water 5.• 1 1 3 <br /> MW-5 - 2 1 water 5 1 1 3 <br /> SB-1 i%pb > i water 5 1 1 3 <br /> MW-6 t�j,Z water 5 1 1 3 <br /> MW-7 �rj� S water 5 1 1 3 <br /> MW-8 �Z,'-� 'Lp 1 water 5 1 1 3 _ <br /> MW-9A l t51 water 5. 1 1 3 <br /> MW-10A 11:13 - 1 water 5 1 1 3 1 SI ORT H10 <br /> INE TIME <br /> MW-1 IA. ( -q 1 water 5 1 1 3 Cryo NO? - <br /> Or <br /> Field Blank /4 —10 i water 2 2 100 C'12 BOD MBA <br /> Trip Blank P4 i water ? <br /> RELINQUISI•IED BY RECEIVED BY I RELINQUISHED BY RECEIVED 13Y - TURNAROUND REPORT REQUIRENIENTS <br /> REQUIREMENTS X I. Routine Report <br /> Signature ignQti e i Signture 5' ntata :•1 hr _tH hr ^i day II. Report(includes DUP,M5 <br /> /] = X somdard(—Ia•15worMnsdays) MSD,as required,may be <br /> Printed Nome rinted Name Printed Name _ P'ate nme Provide verbal Preliminary Results charged as samples) <br /> L Gfit-F--Y )3o6,+d i P--/ b6 r-,,11) IJ Provide FitiXPreliminary nesutu Ill.Data Validation Report <br /> Firm Firm 1 Finn / Firm { / Requested Report Dau: (includes All Rnw Data) <br /> Shaw Environmental C L J} C C,lq'13 tJl . X RWQCB <br /> Date rime 1l-t&-J7— Dute�i ime _!,I /j �! Dntef[ime _ I U Dul i (MDIs/PQLsIi RACEM) <br /> RELINQUISHED BY RECEIVED BY - 15pecial Instructions/Comments: <br /> 13C Labs-Tina Orcen <br /> nott Signature, Plertse report NIDLs,PQLs,and Trace. 4100 Atlas Court <br /> LINitralcNitragen hits a 48-hr hold Nnie. Bnkersfleld,Ca 93308 <br /> P' d N e Printed ame!� ! 661-327-4911/Fx:327-1918 <br /> MIR V' 1 ****Incl m,p-xylene Sr o-xylene in 8260 results. Ship via UPS Acc1965376 <br /> BC Courier. <br /> Finn FlnnEDDsto<susan.watemum@shmegrp,com> Ross Dickey @ 661-201-4171 <br /> l <br /> ------------- <br />