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CHAIN OF CUSTODY/LABORAORY ANALYSIS REQUEST FORM I page —i— <br /> P.O.No: Direct Bill to the County <br /> A180 Promenade Circle,Suite 320 Snernlnento Culif 95834 -012 Lab: BC Lnbs,Bnitersfield <br /> ProjectNaine: Harney Lane LF,San Joaquin County Anal rsis Requested <br /> VOCs Resampled <br /> ProjectNumber: 139866 0 °� <br /> O q <br /> Report to: Sheilu Rlchgels,Show>+m'lronmental v v `r"i b <br /> <sheilu.richgels©shawgrp,com> 916-565-4327 oEl n <br /> o U <br /> o b 00 <br /> Sampler's Signature: _ W p Q � a T 0 V <br /> v oo v > IREMARKS <br /> Sample 2013 LAB Sample VOAs Vons Vons VOAs Vons Vons ContainerT'pes <br /> Dale Thee LD. Matrix ``' Hct Hct HCI -14CI 14Ct lice Preservations <br /> -1 MW-1 -1 'Sy water 3 3 <br /> 2 MW-2 q� water 3 3 <br /> .3 MW-3 SVA water 3 1 3 <br /> -'1 MW-4 tV water 3 3 t <br /> -15 MW-5 31 water 3 3 .HK <br /> _ 0 Field Blankr( water 2 2 _ <br /> -"tTri 131an1c water 2 <br /> RELINQUIBIWED BY RECEIVED Ill' RELINQUISHED BY RECEIVED BY TURNAROUND RE ORT REQUtRt n'IENTs <br /> REQUIREBIENTS l.; Routine Report <br /> 91 or Si ra 51g a Sig nalur /�) i4 hr _48 hr __.5 dny Il: Report(includes DUP,IVIS <br /> l 11 C CGlc•/ lJ/� X stnndord(-to-ls rvorkingdays) MSD,as required,may be <br /> to- <br /> ntq �� Print dsN'Go'ma-,� ��� Pri� Nam , Printed Name �7 rrevlda vertst rrsnminnry arson, charged as samples) <br /> /W J /� i1ZC6k) Prov4deFAX PrellminnryResults 111.Dula Validation Report <br /> Firm Firm Firm Firm Requested Reputt ante: (Includes All Ran Data) <br /> Show Environmental C /3 'B C- 13 — RWQCB <br /> Da(errime e(~15 C) DoieMme !3 0 Dnlcriintc 3r/)t-) Daterrime ;j 0 -13191-47 (MDLs/PQLsrrRACEf1 <br /> REL SIZED BY RECEIVED BY Special lttstrttctions/Comntenls: <br /> e BC Labs Tina Green <br /> Slgnalura Signature Plense report MRL's,PQL's mtd'rruce. 4100 All s Court <br /> rFSCt'l�� Report ONLY the 1lnalytes listed, by 8260 method, Bakersrirld,Co 93308 <br /> Printed Name Printed Name 661-327-491 /Px:327-1918 <br /> C Lt Ship via PS!Acct 965376 <br /> Firm Firm BC Lab mlyleri <br /> 321- / 150 $t1� EDDs to<susun.wnlerman©sitnwgrp.com> Ross Die tcy Qn 6ri1-201-4171 <br /> Dnie!(In,e Duterrime --k-A-7 `�( <br />