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CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM page_of <br /> w <br /> P.O.No: Direct Bill San Joaquin County C <br /> ° 180 Promenade Circle,Suite 320,Sacramento,CA 95834 1 — 6 6 t Lab: BC Labs Bakersfield -" 't <br /> a'o <br /> Pro ectName:Foothill Landfill,San Joaquin County Analysis Re uested c <br /> 3rd Qunrter Sampling 2013 a <br /> Project Number: 149269(Ground Water) e CL <br /> Report to: Sheila Richgels,CB&I m <br /> S <sheila.ricbgels@CB1.com> 916-565-4327 y U o <br /> m <br /> r`r <br /> �° '� n O <br /> orb v ¢ g 4 z o <br /> o O W 2 rn 011 ..2 C r 7i <br /> it w m z <br /> c0 b Sampler's Signature; Lt'.U! (i{f..Lt-t�ctrl' o p u o <br /> M U REMARKS �. <br /> W Sample 2013 LAB Sample VOA LilerLPE 230mi 500m1 Container Types <br /> x= I.D. Date Time I.D. Matrix -n MP NP WN(73 Preservaliuns 'n <br /> m ,J 0 rP <br /> a ' { MW-2R "7 <<° water 6 3 1 1 1 0 <br /> v o •2 MW-3 8'� `X5 water 6 3 1 1 1 w <br /> W <br /> 3 MW-4 j ty water 6 3 1 1 1 o) <br /> s 4 <br /> MW-5 -1.1.3 2� writer 6 3 1 1. 1 <br /> LW-1 water 6 3 I 1 1 <br /> w Field Blank -1-t3 141a water 2 2 d <br /> } 7 Trip Blank —1-13 MIA water 1 2 2 <br /> 0, <br /> -n-n N <br /> X RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> rn Z REQUIREMENTS X 1, Routine Report <br /> Sig nc Si re Sign l Sign h re 34 hr _-49Iv `J5 day IL Rcport(includes DUP•MS <br /> v i a i G IyLC�!*� A`1�G(� Stamio d h10.15 rvarkf�days) MSD,as required,may be <br /> Pr ed Na a Prin Nam Pri t Nnma j� Pr nted Nami rr.Ak Verhol Preilmimy aesulla Charged as samples) <br /> Co �Up17 j S�/G tJl r—M.r•,tiXVmfim;e�ryneeut(s 111.Data Validation Report <br /> gg it Fimr P(ml it Finn <br /> �� I Itequcsinl aepon uele: X (includes All Rory Data) <br /> P �� : 1 <br /> v y n Dale/rimc -)y �2 Dale/I'imc <br /> 13 /2DaLerrimc 9. Date/Timo — L (MDLs/PQLs/rRACEH) <br /> RELINQUISHED BY RECEIVED BY Special Inslrnenons/Comments; <br /> c S BC Labs-Tina Green <br /> o <br /> SigooLdre Signatu Please report NIDLs,PQL.n and Trace. 4100 Atlas Court <br /> 3 i01'`—� Nitrate-Nitrogen has a 48-hr bold time. Bnkersrield.Cn 93308 <br /> 9 a Pnn'ted Name ll Prin cd amc 661-327-4911/Fx:327-1918 <br /> 0 <br /> Cr/jt'yf}A) z: a'Rc1clJl� Ship vin UPS Acct 965376 <br /> m� Firm Firm Courier. Ross 661-201-4171 <br /> a g. c�l _� l�C t l� EDDs to<susan.svntermmiia shmvgrp.com> <br /> s -13 aU <br /> Dnlc/1'ime � Dale/rime <br /> m <br /> ►, 400 9-01 -)3 '7g-'0(0 <br /> lam' Z <br /> Z <br /> -p p <br /> N <br /> fD <br /> W <br /> O_ <br /> W <br /> W <br />