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yr %-U01VLY � Lfl.ISVKA1VKx ANALYNIS REQUEST FORM rage_oi_ <br /> Shaw Environmental <br /> P.O.No: Direct Bill San Joaquin County <br /> 1326 North Market Boulevard,Sacramento,CA 95834 (,,� Lab: CAS,Simi Valley <br /> Project Name:Foothill Landfill,San Joaquin County <br /> Project Number: 124591 (Ground Water) Anal sis Requested <br /> Report to: Sheila Richgels <br /> Company: Shaw Environmental •° <br /> Address: 1326 North Market Boulevard <br /> Go <br /> Sacramento,CA 95834 0 000 e v B <br /> Dir Ph: (916)565-4327 ! AX: (916)56 4356 79 z <br /> c W 0 rn <br /> L A ai <br /> Sampler's Signature: <br /> Sample Z , F" A z U ��' REMARKS <br /> p LAB Samp a x.' VOA LiterLPE 25om1 5ooml <br /> I.D. Date Time I.D. Matrix xcl Np NP Container Types <br /> HNO3 Preservations <br /> MW-2R t-i�l• )`IW , water 6 3 <br /> NJ i l I <br /> MW-4 -t+r1-t•� Z3 -� water 6 3 <br /> I 1 l <br /> LW-1 water 6 3 1 I 1 <br /> Field Blank 1.1`irpP1 t� Awater 2 2 <br /> Trip Blank 1.1N. ' water 2 2 <br /> RELINQUISHED BY RECEIVED BYRELWQUISHED BY REC VE B <br /> TURNAROUND REPORT REQUIREMENTS <br /> Si re Signature r REQUIREMENTS X I. Routine Report <br /> Signature tore 24 hr _48 hr 5 day II. Report(includes DUP,MS <br /> �L VL X Standard 10-15 working days)Pn Name Printed Name (- s » MSD,as required,may be <br /> Printed Name Printed Name <br /> 1aG� Protide vvhal Prdimiaary Results Charged as samples) <br /> Fi Firm Firm Provide FAX Preliminary Results Ii1.Data Validation Report Fl Requested Report Date: <br /> �! (� (includes All Raw Data) <br /> Date/Time H4 � %W Date/rimDate/Time <br /> X RWQCB <br /> Datcial In Date/Time (MDLs/PQLs/fRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> Container Types Key- <br /> Signature <br /> ey: <br /> Si nature Columbia Analytical 40 ml VOA:' 1 <br /> g Signature Please report MDLs,PQLs and Trace. 2655 Park Center Drive,Suite A 250 nil LPE: 2 <br /> Printed Name Printed Name Nitrate-Nitrogen has a 48-hr hold time. Simi Valley,CA 93065 500 ml L,PE: 3 <br /> 805-526-7161/Fx 805-526-7270 1 liter HDPE: 4 <br /> Firm Firm Contact: Karen Ryan 500 nil glass: 5 <br /> UPS Acct 9653E1 I liter glia 6 <br /> EDDs to<susan.watermanQa shawgrp.com> 2x6 s/s ring: 7 <br /> Date/Time Date/Time <br /> glass jar: 8 <br />