Laserfiche WebLink
0 0 9 <br /> CHAIN OF CUSTODY/ LABORATORY ANALYSIS REQUEST FORM Page—Of_ <br /> Shaw Environmental P.O.No: Direct Bill San Joaquin County <br /> 1326 North Market Boulevard,Sacramento,CA 95834 "-c``�S> �;� Lab: BC Labs,Bakersfield <br /> Project Name: Foothill Landfill,San Joaquin County Analysis Requested <br /> 1st Quarter Sampling 2010 <br /> Project Number: 124591 (Ground Water) <br /> Report to: Sheila Richgels,Shaw Environmentalal <br /> - <br /> <sheila.richgels@shawgrp.com> 916-565-4327 0 <br /> CC Report to: Jody Rhoades,Shaw Environmental u y <br /> ody.rhoades r shawQr com> 6-565-4362 r_ v °" z <br /> <' <br /> Sampler's Signature: <br /> " O Q <br /> z J REMAF.KS <br /> Sample LAB Sample VOP. Liter LPE 2501111 5001111 Con laincr'1 I)es <br /> 1.D. Date Time I.D. Matrix I-ICI DIP MP I-R,103 Presentations <br /> MW-1 Z-4,io 11'1(o water 6 3 1 1 1 <br /> MW-2R -L-ytom water 6 3 1 1 1 <br /> - MW-3 Z-4-1Q �l ' water 6 3 1 1 1 1 it`sy . ' s_ll i t-il r L i <br /> MW-4 Z-4-1d 42- I <br /> - water 6 3 1 1 1 1 1-) - --1- <br /> MW-5 L 7-, j a <br /> water 6 3 1 _ --� <br /> LW-1 it ot- water 6 3 <br /> Field Blank 2-3-1✓ V-')!14 water 2 2 <br /> Tri Blank "Z ��� ell water 2 2 <br /> ltlsLINQ SUED BY RECEIVED BY RELINQUISHED 13V RECEIV1i,D BY I'Li1ZNAROtIiti'D--=---i }PC?Rf IN F}kE1��13�'1 l�IsV 1�5 <br /> REQ UIREINIEV S X L ROutinc Report <br /> Sienul Sign rc _ Sig z(vre nuh 2a lir as i r 5 Jm, 11. Report(includes DUI'.MJ <br /> . t Stu¢trud(-I()-[5,� d,f t Ly b1SD,as requued,may be <br /> P �d Name Pnn d Name P d Name <br /> nlcnnc <br /> n w5� i}' 4rwid A bfl trhmn n�f culls cll:ugcd itti tiatnplcS) <br /> J ,/ �y�p� <br /> ly�y �,y�.:Y' Pn�iri f5. tr lhiiwnP.,.�f lts Ill.Data Vandi(ion Repurl <br /> Finn Fitni Ptm Finn Ruuc ted Re,rt De(e ineludus All Raw Data <br /> 5� LS C , ,� <br /> IZ WQcI3 <br /> Date/Time - -\ �_),' Date/Time ` - (NIDL.s/PQLs/I'RACL,j <br /> - 7 Datc/Time 1 CG' Daty%�ti r `j <br /> RELINQUISHED BY RX,CEI 'ED BY Special Instructions/Comments: Containcr'f ypc Key, <br /> BC Labs-Tina GrCerl 40 ml VOA: <br /> S, talur Signature Please report MDLs,PQLs and Trace. <br /> 4100 Atlas Court 250 nil LPL:: 2 <br /> CN p Nitrate-Nitrogen has a 48-hr hold time I3alcersGcld.Ca 933014 500 ml LPF: 3 <br /> P ed t to Ptinte ame 661-327-4911/Fx:3274918 1 liter IIF)PE: 4 <br /> v tC5 `I Ship via UPS Acct 965376 500 ml class: 5 <br /> Finn n - <br /> Fin <br /> �.— Field Support Petcr i3irs 1 liter gla::s: 6 <br /> EDDs to<susan.waterman mshawgrp.com> <br /> r (408)391-294. 2 v6 s/s rin•: 7 <br /> glass jar: 8 <br />