Laserfiche WebLink
CHAIN OF CUSTODY/LABORATORY ANALYSIS REQ UEST F01M Page_of <br /> P,O.No: Direct Bill to the County <br /> %ShQaWO 180 Promenade Circle Suite 320 Sacramento Calif 95834 190 1-00 a Q t Lab: BC Labs Bakersfield <br /> Project Name: Harney Lane LF,Sun Joaquin County Analysis Requested <br /> Ist Qtr 2013 Ground Witter-Annual <br /> Project Number: 139866 <br /> Report to: Shelia Richgels,Shaw Environmental <br /> <sheiin.ricligels®shawgrp,com> 916-565-4327 ' <br /> CC Report to: Jody Rhoades,Shaw Environmental o H <br /> <jody.rhoudes shawgrp,com> 916-565-4362 v <br /> tt vi a Do [ T <br /> o m Q <br /> Sampler's Signature: o C11 „ n°o Z , w <br /> Q z ' 0 <br /> z R1 U Ln U U REMARKS <br /> Sample 2013 LAB Sample s. < voAs L,Or 250 ml 250 mt 500 t.Pr, Coniainer'r pes <br /> 1.D, Date Th I.D. Matrix NO NP 1.1280a 1a1,103 HNO3 Preservations <br /> - MW-1 2-�• l21>m water 7 3 1 1 l 7 <br /> -19 MW-2 O��O water 7 3 I t 1 1 l <br /> -3 MW-3 037 water 7 3 1 I 1 1 <br /> MW-433 water 7 3 1 1 1 I -01 IT M R <br /> - S MW-5 �'�`� water 7 3 <br /> MW-6 I3 water 7 3 1 1 I I <br /> Field Blank N water 2 2 +e <br /> Trip Blank /J water 1 .2 2 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQU1RElIENTS <br /> REQI11REMENTS X i. Routine Report <br /> Signa I SI 4h re t Sign lyra , SlgnaturC 24 hr _d6 hr Slay 11. Report(includes DUP,MS <br /> X 51nndnrd(-1a-15 iVarking Boys) M513,as required,may be <br /> PHNomo 1JrmWd Num Prink Name Printed Name Pre Vide Vabel Preliminary aesulls charged ns snntples) <br /> PA40L. — �tr�' / G 65-IF C PI.Vide FAN Prellminnry lloeulls Ill.Data Validation Report <br /> Firm Firm Firm Firm ' nenu�,led Reperl bele! (Inoludes All Ruty Data) <br /> Slow Envirunmcntul /3c)- �/3 C X RwQCD <br /> Daferrime —L-1 DnIclTinte Daterrime.2r1,1S bnlerrimc MDLs/PQLs1TR,ACEI/) <br /> RELINQUISHED BY RECEIVED BY Special Instrucllons/ ommeuts: <br /> HC Lobs-Tina Orcen <br /> Signnhtr Signature Please report IPIRL's,PQL's and Trace. 4100 Atlas Court <br /> Nitrnte-Nitrogen has it 48-hr(told time. Dulrersfield,Cu 93308 <br /> Printed Nome Printed Nom, 661-327-49111 Fx:327-1918 <br /> z3hPa Nt� t, r Ship via UPS Acct 965376 <br /> Firm Firra BC Lab Courier: <br /> EDDs to<susan.watennan@shoR,grp.cont> Ross Dichey Qa 661-201-4171 <br /> Dalcrrinte` Ca Dmcrrlme a— <br />