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® M M W M = M M M M M � M ® M M ® ® ®. <br /> CHAIN OF CUSTODY /LABORATORY ANALYSIS REQUEST FORINT Page_of_ <br /> P.O.No: Direct Bill to the County <br /> 4L® 180 Promenade Circle Suite 320 Sacramento Calif 95834 Lab: BC Labs,Bakersfield <br /> Project Name: Harney Lane LF,San Joaquin County <br /> Analysis Re uested <br /> 1st Qtr 2012 Surface Water-Annual <br /> Project Number: 139866 �, O <br /> Report to: Sheila Richgels,Shaw Environmental b <br /> <sheila.richgels@shawgrp.com> 916-565-4327 <br /> CC Report to: Jody Rhoades,Shaw Environmental o h d <br /> <jody.rhoades@shawgrp.com> 916-565-4362 w Q o z <br /> O o H ro s7 i� <br /> Sampler's Signature: `" ° a1 ° zbo <br /> :3 <br /> � b o o <br /> 2 . W ra v IREMARKS <br /> Sample 2012 LAB Sample VOAs L.LPE 250 nil 250 ml 500 LPE Container Types <br /> I.D. Date Time I.D. Matrix HCI NP x2s04 lams X03 Preservations <br /> S-1 water 7 3 1 l 1 1 <br /> S-2 water 7 3 1 I 1 I <br /> r� 17 <br /> I <br /> v <br /> v. L <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY 1 RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Signature Signature Signature Signature 24 hr 48 hr _5 day II. Report(includes DUP,MS <br /> X Standard(-•10-15 working days) MSD,as required,may be <br /> Printed Name Printed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Results III.Data Validation Report <br /> Finn Firm Firm Firm Requested Report Date: (includes All Raw Data) <br /> Shaw Environmental X RWQCB <br /> Date/Time Date/Time Date/Time Date/Time (MDLs/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> BC Labs-Tina Green 40 ml VOA: 1 <br /> Signature Signature Please report MRL's,PQL's and Trace. 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 Name Printed Name 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm Firm BC Lab Courier: 1 liter glass: 6 <br /> EDDs to<susan.waterman@shawgrp.com> Ross Dickey @ 661-201-4171 2x6 s/s ring: 7 <br /> glass far. 8 <br /> Date/Time Date/Time <br />