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CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page L ofn <br /> a <br /> w <br /> E y� / q/ P.O.# Direct Sill to County <br /> .; 180 Promenade Circle Suite 320 Sacramento,CA 95834 3�1 (10 Lab: BC Labs Bakersfield 0+ <br /> Project Name:North County Landfill Anal sis Re uested c :5. <br /> �t <br /> s San Joaquin County !; Q <br /> ~ 3rd Qtr 2013 Ground Water a 3 0+`+ <br /> Project Number: 149270 <br /> Report to:Sheila Richgels(916-565-4327) � m A <br /> p a <Sheilo.Richgels@DCB1.com> o00 c (7 y <br /> gb U ¢ D <br /> p <br /> N b <br /> n c Sampler's Signature: <br /> zjv <br /> 4 c o vi 0 m w <br /> °a z > t3 U REMAftI{5 m °Z <br /> Sample 2013 LAB SampleVOAs L. LPC 2so Ise 2so LPC Conininer 7' es cn <br /> dF I.D. Date Time I.D. Matrixnci NP 1-0403 x25oa Preservations G <br /> a ^ ( G-1 +2 '�� water 6.• 3 1 1 1 <br /> CL <br /> D a —'z-G-3D "1.2,0 water 6 3 1 1 1 w --- <br /> a <br /> CA ,3 G-4 '1.30 'Quo water 6 3 1 1 1 i--• <br /> oti a <br /> s Jill ►'3 <br /> _ <br /> G-6 "1,2>0 �tP water 6 3 l 1 ] <br /> W <br /> �SField 13lank "1130 J water 2 2 <br /> Trip Blank ri•3Q /.I water 2 2 <br /> 0 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS N <br /> X$ REQUIREMENTS X L Routine Report <br /> cg Sie re Sig rc Signa r Si arc 24hr ^_Jsiu _Slay IL Repori(includes DUP,MS <br /> --, ({ X St,nd,rd(-In-IS rvorking dny,) MSD,us required,may be <br /> JS Pr ed Nn c ` Pri t Nu Prin None Printed Nome r ov de verbal hretlmmn y nendu charged as samples) <br /> W o a 1qU 1. 1 }�t7 C G1s l '-,' G C 70 Provide raY rM1.10 ry R-11, Ill.Data Validation Report <br /> _ Firm pinFilm) Firm I aenue,red Report Dole: (includes All Raw Data) <br /> COI C /7C 15 1 C +� X RWQCB <br /> Dntcllimc`I130 (� Dulelrime / Q7i DatefTime 30• (� Dnlc/Time - -) 6�O (MDLslPQIsITRACEfI) <br /> o ^b RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> 7 BC Labs-Tina Green <br /> Sign Signature Report MDLs,PQLs,nod Trace. 4100 Atlas Court <br /> 3 G 10 BoltersGcld,Ca 93308 <br /> o Printed Nome Printed Nome 661-327-19111 Fx:327-1918 <br /> g o P p ec Ship via UPS Acct 965376 <br /> a <br /> a Firm Firm Courier: Ross 661-201.4171 <br /> a <br /> v � Dalc/1'imc 18-30 <br /> �, �tr�. ® ,�o�t3 a,b!3� (�e�� '�•'��l3 2136 <br /> -p P <br /> 0) <br /> al <br /> (D <br /> W <br /> O <br /> W <br /> 0) <br />