Laserfiche WebLink
a CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page-Lof0 <br /> w <br /> a P.O.No: Direct Skil San Joaquin County C <br /> 180 Promenade Circle,Suite 320,Sacramento CA 95834 6-C) (,v Lab:BC Labs,Bakersfield <br /> 5 Project Name:Foothill Landfill,San Joaquin County Analysis Re ues(ed y <br /> �* A <br /> !r; 3rd Quarter Sampling 201.3 8•o p � <br /> PrgjectNumber: 149269(Ground Water) <br /> x Report to: Sheila Richgels,CBM Iu pos o tv <br /> <sheila.richgeisut CB1-com> 91.6-565-4327 m w — �e v p <br /> &a U @ m vro O <br /> 0 rn ou B O <br /> at <br /> . ` r0 J A4;6 = z O H a <br /> o Sampler's Signature: (tG ,N1 t�i�_ O d o <br /> a s z I zU 2 1 IREMATU(S T), z <br /> W o Sample 2013 LAB Sample voA Liter LPE zsontt soontl ConinincrTypes <br /> I.D. Date Time I.D, Matrix 11CI NP NP 14No3 __Preservations -n g <br /> S 10 T 110 INC TI V1ESm <br /> � MW-lA .2,1 v water ;::6.. 3 I 1 1 (�r+a NO 1 0P SS � fO <br /> o <br /> a —Z Field Blank Zt water Z 2 z a o <br /> 110 Cl, OD MEAS COT w <br /> a ?j Tri Blank water 2 2 z — <br /> to 0 <br /> sR GHK B i CIF+T IDt —IC N <br /> W . <br /> —s l Tp,—()—0T <br /> Q, <br /> 0 <br /> D-n �a N <br /> x RELINQUISHED BY RECEIVED BY RELINQUISHED BY C1 IVED BY TURNAROUND REPORT REQUIREMENTS <br /> rn c REQUIREMENTS X L Routine Report <br /> Sig re Si uc A Si n C c Si na h c� 3a hr da hr s any 11. Report(Includes DUP.MS <br /> _ <br /> s a f i g P U Gr7 �5 S?� tt) C C tiJ X s nndnrd(-tn-ts,vartdoa dayrl MSD,as required,may be <br /> Prin u Prl fd Na Pn d Name V Printed Name provide verlad Prenmmnty Renihs charged as samples) <br /> w i. ;Irl C C4S'S G '"• t i_t� rroeid.F/XpreaminnryReseas 111.Data Validation Report <br /> Finn FinnFinnyn Firm Regemred Report Date: (includes All Raw Data) <br /> o C131 1E7 <br /> y (f Atf X RWQCD <br /> Si Daterritrl.j Daterrime r I Daterrima$r-7(1(3 IV36 jDateffirne (MDLs/PQLsrrRACC#) <br /> m x RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> o BC Labs-Tina Green <br /> 8 0 oSignature, Signature Please report MDLs,PQLs and Trace. 4100 Atlas Court <br /> 3 <br /> .f0, o Nitnulc-Nitrogen has n de-Iv 6a1d time. Bakersfield,Co 93308 <br /> b Printed Name Prinled N rc 661-3Z7-4911/Fx:327-1918 <br /> p l,)rR.CE rib <br /> Ship via UPS Acct 965376 <br /> Finn rt t� Firm /`//� Courier. Ross 661-201-4171 <br /> a S. rbCL,IJJ X3 V 6G[t�/ EDDsto<susnn.rvntermnnoshmvgrp.com> <br /> y <br /> DalerfimeB•'--j Dotclrhnc •Z •1 ' °2 <br /> a. <br /> -D P <br /> d <br /> G) <br /> N <br /> W <br /> O_ <br /> N <br /> O <br />