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0 0 0 / <br /> CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page_of— <br /> Shaw Environmental ., f ,,, P.O.No: San Joaquin County P.O.#21356 <br /> 1326 Noilh Market Boulevard,Sacramento,CA 95834 (�J Lab: BC Labs,Bakersfield <br /> Project Name: Foothill Landfill,San Joaquin County Anal sis Requested <br /> 5-Year COC Event/Ground Water <br /> Project Number: 124591 S iQi;(� ING Tq EtVIE <br /> Report to: Sheila Richgels(916-565-4327) a' s v e, Cry 6 N0� © O!= SS <br /> <sheila.richgels®shawgrp.com> 00 <br /> G 00 QD BAc C O T <br /> cc Report to: Jody Rhoades(916-5654362) a <br /> <jody.rhoades@a shawgrp-coin) o G g •E ¢ y o <br /> 3 <br /> Sampler's Signature: Li <br /> Z o w I a. REMARKS <br /> ample LAB amp a Liter LPE 50001s VOAs LOIS 5ooml 506ml 500m1 ConlainerT es <br /> I.D. Date TIl11e I.D. Matrix NP licl NP HNO3 NaOH Preservations <br /> -1 <br /> Water <br /> MW-3 ti j water 14 1 1 3 1 1 1 <br /> MW-4 ��Q� 0") water 14 1 1 3 1 1 1 <br /> t <br /> --- <br /> CHK RYM*E3 <br /> Trip Blank -1 i•1 water 1 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1. Routine Report <br /> Sig a To slepnlLure Si+ re \ Signatum 24 Is ��4R hr -�_s day Il. Report(includes DUP,MS <br /> (-10.15 working,days) MSD,as required,may he <br /> Print Narn P* ed Ntun� Pr, Nmn t tod a Pruvlde Verhal Preatubiury 11mits charged as samples) <br /> � Mwida MX Pralurdaary PWuu, M.Data Validation Report <br /> Finn FiI Pitta (z Requested Rgwrl Dam: (includes All Raw Data) <br /> � s rm 3c1� � x3 W- �" X RWQCB <br /> Date/Time -�ke^(� Date/'lime D+ttc/Time Dale/ MDLs/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Inst coons/Comments: Container Types Key: <br /> REFER TO Table VI ATTACHED for 5-YR Pa rameters. BC Labs-Tins Cireen 40 ml VOA: I <br /> natu Signat Please report MDLs,PQU and Truce. 4100 Anus Court 250 ml LPE: 2 <br /> — Nitrute-Nitrogen has a 48-hr hold time. Bakersfield,Ca 93308 500 nit LPE: 3 <br /> ted mo PrintedName 661-327-4911/Fx:327-1918 1liter HOPE: 4 <br /> '6 5e-^r �4� Ship via UPS Acot 965376 500 nil glass: 5 <br /> Fimtn / Firm p L Metals: Cu,Mg,K,No,Al,Sh,Ba,Be,Cd,Cr,Co, Field Support: Peter Bins I liter glass: 6 <br /> c —, !� Cu,Ag,Sn,V,Zn,Fe,Mn,As,Pb,Hg,Ni,se,'rl (408)391.2942 2r:6 s/s ring: 7 <br /> Date/ �/ Dute/Tirne I�C't� fuss jar, 8 <br />