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CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM nage_of— <br /> Ci31 Em,ironmental&Infrastructure,Inc. P.O.# Direct Bill to County <br /> °- 180 Promenade Circle Suite 320 Sacramento,CA 95834 o,-;zLab: 13C Labs, Bakersfield <br /> Project Name; North County LF,San Joaquin County <br /> Analysis Re nested <br /> lst Qtr 2014 Annual Leachate <br /> Project Number: 149270 T' <br /> Reportto: Sheila Rich gels 916-565-4327 pa <br /> <She1la.R1chgels@CBl.com> CD <br /> b00l <br /> o <br /> d h >" <br /> A ¢ Z <br /> Sampler's Signature: 0 0 V� 4 c <br /> V0 0 U <br /> Sample 2014 LAB Sample VOAs 250 LPE L LPE 250 LPG 250 LPE 500 LPG REMARKS <br /> LD. bate Time LD. Matrix }ICI NP NP IiNO3 1I2SO4 NN03 ContainerT es <br /> Presen n(ions <br /> water ::<_8<z< 3 1 1 1 1 1 <br /> L-3 ° 'Z water 8 3 <br /> L-4 water 8 3 1 I 1 1 1 <br /> _ � kms` __. � I.�•I � 2wJ f <br /> .wr ... ..n.—a .. __ ....._._. <br /> z ' <br /> IIELINQUISIIED BY RECEIVED B1' RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> ,,(� REQUIRE11IENTS X 1. Routine Report <br /> Sign erij.:119 Sig;0�/^'y�{w� (\�\ Si ; ure Sigl t re 24 hr 49 hr s day It, Report(includes DUP,MS <br /> X Slm,dard(-10-15 waking days) MSD,as required,may be <br /> Printed Name 1111,11 d Name ` Print Nante Printed Name Provide vcrbni Frclilnh,nry Reanaa charged as samples) <br /> 1'nul R'chthnrdt Lb s� ( II 6 (QGz <br /> Provide FAX Preliminary Results M.Data Validation Report <br /> Firm Pimi V 3 Firm 6c /�1 Requested Report Data: (includes All Row Data) <br /> CI31 {�f lr C X RWQCt3 <br /> Dnlc/Time .[ f,_'.3Q Dale/Time 3 d Dntelrime /' Lj,/ 5 DatelTime -A'L/ (MDLs/PQLs/TRACBN <br /> RELINQUISHED BY RECEIVED BY Special Ills(ructions/Comments: <br /> Report NIDLs,I'QLs,and Trace. k3C Labs-'Tina Green <br /> Signature Signature Nitrate-Nitrogen has a 48-hr hold. 4100 Atlas Court <br /> Printed Name Bakersfield,Ca 93308 <br /> Printed Name�7 661-327-4911/Fx:327-1918 <br /> Sbse &ITZCE/JLa Courier; Ross 661-201-4171 <br /> Firm Finn <br /> Ship via UPS Acct 965376 <br /> Date/'Time Date/I'imc 1' �� 8 t <br /> 110 21-I u ata° <br />