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n <br /> Paof n <br /> CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page— <br /> 9 P.O. Direct bill to San Joaquin County <br /> a CBI Environmental&Infrastructure,Inc. <br /> ° 180 Promenade Circle Suite 320 Sacramento Ca 95834 Lab: BC Labs,Bakersfield 0 <br /> r _ <br /> ° Project Name:Corral Hollow LF,San Joaquin County Anal sis Re nested < <br /> � a <br /> ti Resample 9A,10A,11A for BTEX only." L m Qy <br /> 1st Qtr 2014 Quarterly Ground Water w <br /> g Project Number: 149266 N o <br /> a Report to: Sheila Ricligels,CB&I °O 0 <br /> a <shelln.richgels®CI3I.com> 91 65-4327 O o 0 Q <br /> 0o m`� U O <br /> y g woL•I <br /> /F0 <br /> N < N <br /> 0 .b Sampler's Signature: tFryt REMARKS tD. 42 <br /> � y <br /> Container Types. �► <br /> d ° Sample 2014 LAB Sample '"„ VOAs Preservnlions _ <br /> m I.D. Date Time I.D. Matrix ttcl ., <br /> m MW-9A Z-1 water 3.. 3 c'o <br /> a = O <br /> .1 o REPHY <br /> ® Z water <br /> 3 3 a <br /> (DOE-I MWAIA � �3 water 3 3 w <br /> � � Fieldh1 I water 2 2 00 <br /> � � 3 — a <br /> S J <br /> :1. <br /> water 2 z <br /> V5^ �w n <br /> s CNK Y ISTRI UTION <br /> a o, <br /> i; o � <br /> -n$ SUB OUT <br /> rn8.2 <br /> �G <br /> RE, EIVED BY RELINQUISgED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> ° REQUIREMENTS X 1. Routine Report <br /> a gy Sign Sig a Si re Signatu z4 hr _4a M _s doy It. Report(includes DUP,MS <br /> 00 �w; S f7 X Stands d(—Ia-IS wo king dnye) MSD,as required,may be <br /> o. Printed Name Pri Nant Ped No Printed Name Providevub.l P anminary R..h. charged as samples) <br /> P Paul Weinhardt "M) "D1 �t3S� P/ �� P_Ik FAX NA.1...y P. It. III.Data Validation Report <br /> Finn Firma Firm Renuesmd Rapo t Dara (inciudes All Raw Dale) <br /> Firm ?C (JC-� 13cl.-.p� X RWQCB <br /> m r.3 CB&1 (� y� <br /> o DalelTime - -1 6 DelelTimeQ. .f IM6 DRte/Time Z 19ri DatelTime - r (HDLs/PQLslrRACEM) <br /> o Container Types Key: <br /> 9 RELINQUISHED BY RECEIVED BY Special InstructlonalComments: <br /> o Please report HDLs,PQLs,and Trace. BC Labs-Tina Green 40 ml VOA: 1 <br /> Si nature 4100 Atlas Court 250 mi LPE: 2 <br /> o e Signature g Bakersfield,Ca 93308 500 ml LPE: 3 <br /> n <br /> R 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> a E <br /> Printed Name Printed Name <br /> F Ship via UP$Acct 965376 500 mi glass: 5 <br /> o lrm Firm BC Lab Courier: 1 liter glass: 6 <br /> C�� Ross Dickey Q 661-201-4171 2x6 s!s ring: 7 <br /> !12DatelTii»e less jar: 8 <br /> DatelTime <br /> 0 <br /> '0 P <br /> N <br /> M <br /> N <br /> w <br /> A <br />