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CHAIN OF CUSTODY/ LABORATORY ANALYSIS REQUEST FORM Page—of— <br /> Shaw)Lnvironlnental P.O.No: Direct Bill San Joaquin County <br /> 1326 North Market Boulevard,Sacramento,CA 95834 `U-'C1�`Q 1 2� Lab: 13C Labs,Bakersfield <br /> Project Name:Foothill Landfill,San Joaquin County Aualysis Requested <br /> 1st Quarter Sampling 2010 <br /> Project Number: 124591 (Ground Water) <br /> Report to: Sheila Richgels,Shaw Environmental r <br /> v U <br /> <slleiL,i.Iichgeis@shawgrp.com> 916-565-4327 00 <br /> QQ :G <br /> CC Report to: Jody Rhoades,Shaw Environmental v <br /> <jody.rhoades@sllawgrp.corn>T1lj/,��/1��6-5lJ165-4362_ o <br /> Sampler's Signature: o y <br /> z Q ¢ z U REMARKS <br /> Sample LAB Sample VOA Liter LPE 250nd 500,111 Container Type, <br /> I.D. Date Time I.D. Matrix llcl NP NP 1-11103 Prescnvtimts <br /> 1 MW-1 Z'=t•r� �4`l�' water 6 3 1 1 1 <br /> �! MW-2R �L;3'-io water 6 3 1 1 1 r---- — <br /> MW-3. <br /> 14•10 water 6 3 t 1 1 1 _ <br /> MW 4 Z-;-E•1:� ►�- water 6 3 1 1 1 t _ <br /> ( ` <br /> MW-5 4-3-10 V'4 1 water 6 3 1 1 1 L - 1 -- ''uu <br /> 1 f <br /> LW-1 7--'-I-1c+ it 04- water 6 3 1 1 .1 <br /> 3 110 <br /> 014 t V� water 2 2 <br /> Field Blank 2 <br /> Trip Blank water 2 2 r— ---11 T - <br /> �riE - <br /> c <br /> RLLiNQtSITEDBY RECEIVED BY RE,LINQUiSHEDBY RECEIVED BY TURNAROiFN REPOR+44.isQ -R-E141-1- 1S <br /> IZEQUIRENIENTS X 1. Routine Report <br /> Signet Sign re Sigt aro l "anal 24h, —49k, _s;lap IL Report(includes DUP,MS <br /> '� Llu� ✓�/,f L' r!1' '�-» a.,+ X smnc6vd(.In.tswtalao8,t.vs) NISD,asrequii may lie <br /> P •d Name j),�1 Pri •d Name T 1 P''7f�t¢,d Nam '' <br /> e t nmv <br /> �tc /e_nc ;,� �y(� Pide Vertxd I'relmen:uy r—Jis Charged us samples) <br /> rt•' LP�n� � �5� 4.� •�(C z4s��/�i Q�'' �- -- �`,.� ^CY"-'�• Provide Fed\1wiin imus lwme, Ill.Data Validation Report <br /> FinnB> RctluestONport Date: (ineludes All Raw Daht) <br /> Datelrime Z-4-to '2V2— DateMine Z7 Dale/Tina jDat ' 't � `� (MDL.VPQLs/TlZACGl) <br /> RELINQUISHED BY RECEIVED BY Special lustructiuns/Cutnumttts: Container Types Key: <br /> BC Labs-Tina Omen 40 1111 VOA: I <br /> S• tutu Signature - Please report 114DLs,PQLs und'llwce. 4100 Allan Court 250 nil LPC: 2 <br /> Nitrate-Nitrogen has a 48-fur bold time. Bakersfield,C1 93305 500 ml LT'G: 3 <br /> Y ed a Printf ame 661-327-4911/Fx:327-1918 1 liter UDPG: d <br /> ` A \ Ship via UPS Acct 965376 501)1111 glass: 5 <br /> Finn Firm Field Support: Pctcr Dins 1 liter gloss: 6 <br /> G>C' ��.. EDDs to Vus:ut.lvaterulanatshulegrp.cam> (408)391-2942 2',6 s/s ring: 7 <br /> Dnle/'1' e„ j� �, Datc/Timc 2 L Cl LZ 1 glass jar: 8 <br />