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Shaw Environmental CHAIN OF CUSTODY/LABORATORY QUEST FO TORY ANALYSIS Page—of_ <br /> P.O. Direct bill to San Joaquin County <br /> 1326 North Market Boulevard Sacramento 4 CA 9583Lab: CAS,Simi Valle <br /> Project Name: Corral Hollow Landfill,San Joaquin County Analysis Requested <br /> Project Number: 124592 (Ground Water) <br /> Report to: Sheila Richgels <br /> <Sheila.Richgels@Shawgrp.com> b <br /> Company: Shaw Environmental ` <br /> Address: 1326 North Market Boulevard o <br /> U <br /> Sacramento,CA 95834 0 0 o ' <br /> Dir Ph: (916)565-4327/F (916)56S4356 <br /> U :a 00 <br /> Sampler's Signature: Z Z w v o <br /> REMARKS <br /> Sample LAB Sample •4 125nd` 1 Container Types <br /> I.D. Date Time I.D. Matrix NP NP HCl Preservations <br /> MW-4 1Z water 5 1 1 3 <br /> MW-5 water 5 1 1 3 <br /> SB-1 yb vs water 5 1 1 3 <br /> MW-6 *iim o water 5 1 1 3 <br /> C4 MW-7 b V <br /> water 5 1 1 3 <br /> Field Blank water <br /> TH2 Blank x-'11® water 2 2 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY ;RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> SignatuJA Signature Signatu Signa 24 hr 48 hr 5 day II. Report(includes DUP,MS <br /> X Standard(-10-15 working days) MSD,as required,may be <br /> Priv a Printed Name Printed Name PtinW Nam Provide Verbal Preliminary Results charged as samples) <br /> Q Provide FAX Prelhnirmy Results III.Data Validation Report <br /> Firm Firm Firm Requested Report Date: (includes All Raw Data) <br /> X RWQCB <br /> Date me EatIlme Date/Time JDate/Time 1 (MDIs/PQls/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> SignatureSignature Please report MDLs Columbia Analytical 40 ml VOA: 1 <br /> p ,PQLs,and Trate: 2655 Park Center Drive,Suite A 250 ml LPE: 2 <br /> Nitrate Nitrogen has a 48-hr hold time, Simi Valley,Calif 93065 500 ml LPE: 3 <br /> Printed Name Printed Name 805-526-7161/Fx:805-526-7270 1 liter HDPE: 4 <br /> Firm Firm <br /> Contact: Karen Ryan 500 mglass:lass: 5 <br /> I liter glass: 6 <br /> Date/Time Date�me EDDs to<susan.waterman@shawgrp.com> .. UPS ship acct:9653E1 2x6 s/s ring: 7 <br /> s jar: 8 <br />