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CHAIN OF CUSTODY/ LABORAORY ANALYSIS REQUEST FORM Page <br /> P.O.No: Direct Bill to the County <br /> hd® 180 Promenade Circle Suite 320 Sacramento Calif 95834 Lab: BC Labs,Bakersfield <br /> Project Name: Harney Lane LF,San Joaquin County Analysis Requested <br /> Ist Qtr 2013 Surface Water-Annual A <br /> Project Number: 139866 O <br /> Report to: Shelia Richgels,Shaw Environmental a <br /> <sheila.richgels@shawgrp.coln> 916-565-4327 00 <br /> CC Report to: Jody Rhoades,Shaw Environmental o H -;J <br /> <jody.rhoades@shawgrp.com> 916-565-4362 w vi o z <br /> O o <br /> Sarnpler's Signature: <br /> � o � � �. � ��`�•�` <br /> U REMARKS��.. <br /> Sample 2013 LAB Sample VOAs L.LPE 250 nil 50 ml 500 LPE Container Types <br /> I.D. Date Time I.D. Matrix Hct NP 42 HNO3 HNO3 Preservations <br /> S-1 water 7 3 1 1 1 1 <br /> S-2 water 7 3 1 1 l <br /> IV <br /> RELINQUISHED BY--- RECEIVED BY RELINQUISHED BY 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 Remits charged as samples) <br /> Provide FAX Preliminary Results 111.Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date: (includes All Raw Data) <br /> Shaw Environmental X RWQCB <br /> Date/Tine Date/Time Datelrime Date/Time MDLs/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> BC Labs-Tina Greets <br /> Signature Signature Please report MRL's,PQL's and Trace. 4100 Atlas Court <br /> Nitrate-Nitrogen has it 48-hr hold time. Bakersfield,Ca 93308 <br /> Printed Name Printed Name 661-327-4911/Fx:327-19 IS <br /> Ship via UPS Acct 965376 <br /> Firm Firm BC Lab Courier: <br /> EDD%to<susau.waterman@shawgrp.com> Ross Dickey @ 661-201-4171 <br /> Date/Time jDatefrime <br />