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CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page _of_ <br /> i P.O.No: Direct Bill San Joaquin County <br /> 180 Promenade Circle,Suite 320,Sacramento CA 95834 6 f �C� Lab: BC Labs,Bakers[ield <br /> Project Name: Foothill Landfill,San Joaquin County Analysis Re uested <br /> 3rd Quarter Sampling 2013 <br /> Project Number: 1.49269(Ground Water) y <br /> Report to: Sheila Richgels,CB&1 v <br /> U <br /> <sheila.richgels@C.Bl.eom> 916565-432775 lg <br /> O aCi d <br /> Z t. <br /> , W V e4 <br /> 'n h of <br /> Sampler's Signature: Pw O a <br /> RENLAM S <br /> Sample R211 LAB Sample von LilorLPE 250ml 50aml ContainerTypgs <br /> T.D. Time I.D. Matrix `t Iicl NP NP HNO3 Preservations ! <br /> rJ <br /> MW-2R water 6 3 1 1 1 <br /> •2 MW-3 ,tip water 6 3 T 1 J <br /> MW-4 'L� water 6 3 1 1 I <br /> -y MW-5 water 6 3 <br /> -5 LW-1 1. 1`t6 water 6 3 1 1 1 <br /> -6 Field Blank -G-13 141 water 2 2 <br /> Trip Blank B--V13 ALA water 2 2 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1, Routine Report <br /> Sig re Si re Sign t Sign t ro 341ir 48 hr `5 day II. Report(includes DUP,MS <br /> 1 �tiC�� �G t' G7-i) _/ X Standard(-ra-IS working dnye) MSD,as required,may be <br /> 1A JJ,,Pr ed Na(ne Pi-19 No t Pri t Name Pr ntcd Namu Provide verbal Preliminary Results charged as samples) <br /> VL VU pnss Ln . `- ��C e Provide rr1X Preliminary ausulls til.Data Validation Report <br /> imr rime Firm /� firm / f, Reriursred Repon Vale:h. <br /> (includes All Raw Data) <br /> CBl r �C C.L �L X RWQCB <br /> Daterrlme -J_I2;l 1121V Dnle(i flee go ( Dteincn (MDLs/PQLsrrRACEN) <br /> RELINQUISHED BY RECEIVED BY Specinl Instructions/Comments: <br /> BC Labs-Tinn Green <br /> V11 <br /> e Signotur Mense report NIDL&PQLs and Trace. 4100 Atlas Court <br /> Cr ,•�--� Nitrnte-Nitrogen has n 48-hr hold time. Bokersf'rcld,Cu 93308 <br /> ame Prin ed ome 661-327-491 t/Fx:327-1918 <br /> .nlo Z_ Si`Iis,SZC"cPShip via UPS Met 965376 <br /> Fi Fim� Courier. Ross 661-201-4171 <br /> �L Dc 1/\ EDDs to<susan.waterm anQa shnn•6rp.coin> <br /> Date/Time Dnierrime a -1?, 3 <br />