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CHAIN OF CUSTODY LABORA Y ANALYSIS REQUEST FORM Page_ <br /> P.O. Direct bill to San Joaquin County <br /> ShaWa 180 Promenade Circle Suite 320 Sacramento, Ca 95834 Lab: BC Labs Bakersfield <br /> Project Name. Corral Hollow LF,San Joaquin County —t Anal sis Requested <br /> 4th Qtr 2012 Ground Water <br /> Project Number: 139881 <br /> Report to: Sheila Richgels,Shaw Environmental 0 a <br /> <sheila.rlchgels@shawgrp.com> 916-565-4327 ob °y <br /> CC Report to: Jody Rhoades,Shaw Environmental o d <br /> <jody.rhoades@shawgrp.com> 916-565-4362 <br /> Sampler's Signature: 0 REMARKS <br /> V <br /> Sample 2012 LAB Sample ? L.LPE 250 LPE 401n1 VOAs Container Types <br /> I.D. Date Time I.D. MatrixNP NP HCl Preservations <br /> ,l MW-4 to-15 nD.1 water 5 1 1 3 <br /> ,Z MW-5 12°� water 5 1 1 3 <br /> , 3 SB-1 ` "° water 5 1 1 3 <br /> MW-6 lea water 5 1 1 3 BUTN9 - <br /> IUi <br /> `J MW-7 ` `ly water 5 1 1 3 <br /> MW-8 CJwater 5 1 1 3 - <br /> MW-9A , t® water 5 1 1 3 "4 <br /> - MW-10A quwater 5 1 1 3 +8 G !ME <br /> A MW-11A Epapwater 5 1 1 3 s S <br /> -w�-___ z gfq�r C <br /> Field Blank N�.� water 2 2 T <br /> -� <br /> Trip Blank N water 1 2 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Si ur Si 1 ture Si ature Signature 24 hr 48 hr _5 day 11. Report(includes DUP,MS <br /> X standard(-10-15 working days) MSD,as required,may be <br /> Pr 1 d NLarm pT Pr nth'Name ) Printed Name Printed Name 4 Provide Verbal Preliminary Results charged as samples) <br /> (� �/ Z�� 0 G Pr-A) I 'S C E 6? Provide FAX Preliminary Results M.Data Validation Report <br /> Firm Firm Pi r Firm ��� Requested Report Date: (includes All Raw Data) <br /> Shaw Environmental L C `' X RWQCB <br /> Date/Time Iv-j5-1 Date/Time -y- Date/Time _ - ( Date/Time LstP Ls/TRACE# <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments: <br /> BC Labs-Tina Green <br /> SignatureSi nature Please report MDLa,PQLs,and Trace. 4100 Atlas Court <br /> Nitrate Nitrogen has a 48-hr hold time. Bakersfield,Ca 93308 <br /> Printed Name Printed Name 661-327-4911/Fx:327-1918 <br /> �esv Gq'L L m{ IQ.L ****Incl m,p-xylene&o-xylene in 8260 results. Ship via UPS Acct 965376 <br /> Firm Firm BC Courier: <br /> EDDs to<susan.waterman@shawglp.com> Ross Dickey @ 661-201-4171 <br /> Dete/Time Q- '' Date/Time i, - 6 s <br />