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Page of <br /> CHAIN OF CUSTODY / LABORATORY ANALYSIS REQUEST FORM <br /> 2 / P.O.# Direct Bill to County <br /> ° 180 Promenade Circle Suite 320 Sacramento,CA 95834 Lab: BC Labs .Baltersfield <br /> Project Name:North County Landfill Analysis Requested I <br /> San Joaquin County i <br /> 3rd Qtr 2013 Leachate <br /> Project Number: 149270 c <br /> Report to: Sheila Richgels(916-565-4327) C:3 z <br /> �SiteiIn.Rich gels tt CBi.com> °i <br /> U <C .� <br /> o w 4 <br /> Ik <br /> Sampler's Signature: l o vi <br /> REMARKS <br /> Sample 2013 LAB Sample VOM L. LPE 250 LPC 250 LPE I lContainerTypes <br /> I.D. Date Time LD. Matrix "'°>_ 1-10 NP HNO3 1-12S01 Preservations <br /> •-'� L_1 1.3a 2-1 water "6 3 1 1 1 <br /> —� L-3 3? water 6 3 1 1 1 <br /> �- L-4 Jt{ water 6 3 1 1 1 <br /> i <br /> RELi QUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQULREMENTS X I. Routine Report <br /> Sig re Si re Sig ure Sig t re 14 hr 19 hr _5 day 11, Report(includes DUP,MS <br /> �,�At��lw yc ,C r X 5mhdortl(—In-1�vnrk{ngJags) MSD,as required,may be <br /> Pri c Nama Pri tfd Nam Pri ted Nant Printed Nan a Prnlde Verbal 1'mlln inary Rusulis charged as samples) <br /> U� �Qn17 �j�( C PravldeFAX Preliminary Resdis 111.Data Validation Report <br /> Firm V v l Firm Firm t Firm C Regee,md RoPon Data: (includes All Raw Data) <br /> CBI X RWinCB <br /> Date/Time j O L3 �4OX Dolc/Time Datcrrime "V- ' Dolcrrlme 0_ b�1 (MDLe/PQLsrrRACL#) Il <br /> RELINQUISIIED BY RECEIVED BY Special Instructions/Canlmenls: <br /> BC Labs-Tina Green <br /> Sig n ure Signature Report NIDLs,PQLs,and Trace. 4100 Alias Court <br /> Bakersfield,Ca 93308 <br /> Printed Name Pr nted Nnme 661-327-49111 FS:327-1918 <br /> G .� l _ Ship vin UPS Acct 965376 <br /> lI n ], Firm <br /> Courier: Ross 661-201-4171 <br /> Dalclrintc — p 1 Duterrime <br />