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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 -�l 1� .�'1 Lab: BC Labs,Bakersfield <br /> Project Name:]Foothill Landfill,San Joaquin County Analysis Requested <br /> Ist Quarter Sampling 2010 <br /> Project Number: 124591 (Leachate) y <br /> Report to: Sheila 1R.ichgels,Shaw Environmental b <br /> <sheila.richgels@shawgrp.com> 916-5654327Pq sO � 00 <br /> CC Report to: Jody Rhoades,Shaw Environmental <br /> <iody.!•hoades(r�r sliawgrp.com> 6-565-4362 4. v o � � � 'n v <br /> N o x o <br /> Sampler's Signature: o <br /> 7 Q w. y.4 .Y p U v �y <br /> z 1- '" U y > u3 REMARKS <br /> Sample AB Sample L LPr: 250nd 5lwtnl %10A <br /> I.D. Date Time 1.D. Matrix NP NP tNO3 HCI Cantaincr'C}q,cs <br /> Preservations <br /> L-OL ��tA j�� water G 1 I 3 <br /> I^ CH K BY it S '? i l i I SHO i t <br /> _ Lr z s <br /> ei! SwB-0LJ-r Ll ,r <br /> RELINQUISHED BY R78CTTVi D BY RELINQUISHED BY 5RrC1;TVT1r)lIV 'rIiRNAPOU.ND REPOIYr MQUIR0-IL�'NTS <br /> RI.QUIRLMEN9'S X L Routine Report <br /> Signau Sig a aro Sty nut °a� 241. dx hr 3 duy 11. Report(includes DLiP,MS <br /> I X sw,d"dC-10.15 w rhF.,7Z..) MSD.as required.may he <br /> Printed ame i , 1 n Nat n �t Nam P' led'An. Pn l&V.&d Prelua;w R..Iw <br /> �Yl~l q� ! J � �j c / cUatr�cd as samples) <br /> C \OSS / T s •li� Provl,k Pn:;Prefi,au,ary Rcsulu 112,Data Validation Repurt <br /> Finn � Finn fin <br /> Rer u sled tte <br /> l Iron WW: ) <br /> (includes All Raw Dala <br /> X RWQCB <br /> Dale/Time Dutel7'ime' G•�'Z Dale/Tinto (. Da d "1 (MULs/PQLs/'IY2ACL'i/) <br /> R>LI Q SFIIdD BY RL I':I D BY Special Instructinns/Conmtents: Conutinrrl'?pes Key: <br /> BC Labs-Tian Chuen 40 nil VOA: I <br /> 'endo Stgn Please report N-IDLs,PQ"-unit Trace 4100 Atlas Court 250 nil LPL-•: 2 " <br /> Nitrate-Nitrogen has a 48-hr hold time, Bakersfield,Cu 93308 500 nil LPC: 3 <br /> P'nted me (� P' ted Name 661-327-49L1 i Fx:327-1918 1 liter HDPE: 4 <br /> Niik Ship via URS Accl%5376 <br /> Finn P 500 nil glass; 5 <br /> Ptmt Field Support: Peter'Pins <br /> PP l litorgiass: C <br /> ' <br /> EDW to Gcusan•wuterniau ntsbawgrp.rou,> (408)391-2942 2x6 itis ring: 7 <br /> Dat tr to^� d• Dule/Timo 2- f 0 2 <br /> elnca jar. 8 <br />