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0 <br /> CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page- <br /> or-P.O.No: Direct Bill to the County <br /> o 180 Promenade Circle,Suite 320 Snernmento Calif 95834 ` rV 2 3 5 Lab; BC Labs,Bulrersneld �+ <br /> 6 Project Name: Harney Lane LF,San Joaquin County Analysis Re uested c <br /> VOCs Resompled O a <br /> ProjectNumber: 139866 0 9 1- 4 <br /> a o Report to: Sheila Riellgels,Show Environmental <br /> <sheilo.richgels a shnwgrp.com> 916-965-4327b+ 12 ;; a <br /> 0 8 S v <br /> ;gib u �� a e7 iu 0 O <br /> O `C W 1: 01 T f; 7 N t <br /> D o /LLGLr� tN,�+LLbT .M A H dpi T rq W ' r`� 00 <br /> a °6 >G v <br /> N Sampler's Signature: °' °' t3 "� c x m o <br /> o H 0 � <br /> v 0 - I � � v RBMARic5 � °z� <br /> w <br /> Sumple 2013 LAB Sample vons Vona Vons Vons Vons Vons ConinincrT cs a c_n <br /> I.D. Date Time I.D. Matrix 's Hci Hct ItCIi-tet Hct ltct Presarvmlons c <br /> a -1 <br /> MW-i water 3.... 3 A <br /> a <br /> a g —2 MW-2 Ct water 3 3 0 <br /> > : -3 MW-3sop <br /> I0vA water 3 3 w <br /> w _y M W_q ' water 3 3 <br /> � <br /> °' MW-5 ,al water 3 3 HK CM water <br /> Field Blank C( water 2 <br /> Ng --1 Trip Blank water 2 2 <br /> -CID .i <br /> o, <br /> ' oo <br /> -n RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS N <br /> X REQU1RE11ICNTS X 1. Routine Report <br /> 6i Sf u SI re Sigr a Signal z•r hr rae hr _s any 11. Report(Includes DUP,MS <br /> zt w- r 0- tg (5)` X Slnndnrd(-Ia IS work(nn days) MSD,as required,may be <br /> s Pri d Nam Prin d Nam Prin o Nem Printed Name Pr.�v..netrr.co,rho yRawu charged as samples) <br /> r �� � /D �p er �aS F-Rj/.1z ca) P—Id.FAN PrNmmnry nesoiu 111.Data Validation Report <br /> SSSg Firm Firm Plmt pbm UpodDw (includes All Raw Date) <br /> Show Environmental k / ) 13C 613 X RWQCB <br /> �° DatcJfime �t`13 ) DRIe/flme oZC� Dale/iinre Sr/,/'3 1DOWTIme 3,('j E (MDLs/P LSIrRACEN) <br /> b REL SFIEb BY RECEIVED BY Special Instnrctlons/Commenis: <br /> °7 r BC Labs-Tina Green <br /> y C. <br /> P° Signature Slgnnlure Please report hIRL`s,PQL's and Trace. 4100 Atlas Court <br /> 3 1' as Cey��, Report ONLY the analytes listed,by 8260 method. Bakersfield,Ca 93308 <br /> 2, <br /> 661-327-4911/Fx:327-1918 <br /> Printed Name Printed Name <br /> Ship via UPS Met 965376 <br /> a C L t d'� <br /> Firm Firm DC Lab Courlerr <br /> d ISM to<susnn.waterman@shnwgrp.com> Ross Dickey Q 661-2014171 <br /> Dalefl•ime <br /> m <br /> a. <br /> m <br /> c. <br /> 0 <br /> W P <br /> o <br /> M <br /> rD <br /> W <br /> ON_ <br /> N <br />