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CHAIN OF CUSTODY/ LABORATW ANALYSIS REQUEST FORM Page <br /> P.O. Direct bill to San Joaquin County <br /> ShaWs 180 Promenade Circle Suite 320 Sacramento Ca 95834 Lab: BC Labs,Bakersfield <br /> Project Name: Corral Hollow LF,San Joaquin County Anal sis Requested <br /> 2013 Surface Water b <br /> Project Number: 139881 <br /> Report to: Sheila Richgeis,Shaw Environmental i <br /> <sheila.richgels@shawgrp.com> 916-565-4327 <br /> CC Report to: Jody Rhoades,Shaw Environmental o Pa a <br /> <jody.rhoades@shawgrp.com> 916-565-4362 U o Z <br /> p L. <br /> Sampler's Signature: ° U <br /> p g O S, U p U I IREMARKS <br /> Sample 2013 LAB Sample 40ml VOAs L LPE 250 LPE 500 LPE I Container Types <br /> I.D. Date Time I.D. Matrix HCl rrn NP tnvo3 Preservations <br /> SW-1 water 1 6 3 1 1 i <br /> SW-2 water 6 3 1 I <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I. Routine Report <br /> Signature Signature Signature Signature 24 hr 48 hr _5 day II. Report(includes DUP,MS <br /> X Standard(-10-15 working days) MSD,as required,may be <br /> Printed Name Printed Name Z Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Results III.Data Validation Report <br /> Firm Firm Firm Firm Requested Report Date: (includes All Raw Data) <br /> Shaw Environmental X RWQCB <br /> Date/Time Oate/Time Date/Time Date/Time DLs/PQLs/TRACE#) <br /> RELINQUISHED BY ,' RECEIVED BY Special Instructions/Comments: Container Types Key: <br /> i' BC Labs-Tina Green 40 ml VOA: I <br /> Signature Signature Please report MDLs,PQLs,and Trace. 4100 Atlas Court 250 ml LPE: 2 <br /> Nitrate Nitrogen has a 48-hr hold time. Bakersfield,Ca 93308 500 ml LPE: 3 <br /> Printed Name Printed Name 661-327-4911/Fx:327-1918 1 liter HDPE: 4 <br /> **** Incl m,p-xylene&o-xylene in 8260 results. Ship via UPS Acct 965376 500 ml glass: 5 <br /> Firm Firm BC Courier: I liter glass: 6 <br /> Ross Dickey @ 661-201-4171 2x6 s/s ring: 7 <br /> Date/Time Date/Time glass jar: 8 <br />