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!r <br /> CHAIN OF CUSTODY /LABORATORY ANALYSIS REQUEST FORM Page of <br /> P.O.# Direct Bill to County <br /> 180 Promenade Circle Suite 320 Sacramento,CA 95834 Lab: BC Labs Balcersfield <br /> Project Name:North County Landfill Analysis Requested <br /> San Joaquin County <br /> 3rd Qtr 2013 Ground Water <br /> ProjectNumber: 149270 G <br /> Report to:Sheiln Richgels(916-565-4327) <br /> <Sheiln,Ricbgels@C.B1.com> o <br /> U Q <br /> a. w <br /> O 1 w GI <br /> J, .I <br /> Sampler's Signature: o <br /> Z <br /> U T�S <br /> REMARU U <br /> Sample 2013 LAD Sample VOAa It,. LPL 250 LPL 250 LPG I lContainor Ty es <br /> I.D. Date Time LD, MatrixHCl NP 1IN03 xzs04 Preservations <br /> water 6 3 1 1 1 <br /> —�G-3.D °1,30 W°► water 6 3 1 1 1 <br /> — G-4 kolo water 6 3 1 1 ] <br /> -Id3� <br /> V J5 <br /> G-6 "1 water 6 3 1 1 l <br /> --S <br /> Field BIonic 1,30 water 2 2 <br /> Tri Blank '"i.3G hl water 2 2 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUMEMENTS X 1. Routine Report <br /> Sig re Sig re Signilh4mg Si ure 24 hr Je to _s day II. Report(includes DUP,MS <br /> l>� Gp Standard(-10.15 warklnB days) MSD,os required,may be <br /> 01 <br /> Pr ed No e 1 Pri No Prin Name Printed Name Proved.Verbal Preliminary Rendes charged as samples) <br /> , V LY itf�►{Zi7 `- � ! G ' S G G 70 Provide PAI:Preuml"my Rends 111.Dela Validation Report <br /> Firm Fim Film ��� Firm C ' Requested Repnn Date: (includes All Raw Data) <br /> CBIt / L/n- X RWQCB <br /> ' , (HDLsPeL/TRACRN)� (Datefrime <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> BC Lobs-Tina Green <br /> Sign t�`tre Signature Report 11IDLs,PQLs,and Trnce. 4100 Alias Court . <br /> L G V Bakersficld,Ca 93308 <br /> Printed Name Printed Nome 661-327-4911/Fx:327-1918 <br /> �l 3p AA) —S*P- � Q(� Ship via UPS Ace1965376 <br /> Firm Fir Courier: Ross 661-201-4171 <br /> �-� : <br /> DatelTime p- Dntc/Tlme"��{a- ^• (�i �d ' <br /> �.. m 'o�i �t!3� i��= �.3v <br /> 'Rtii� l <br /> 2 30 '� <br />