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r� rr rr rr r � rir r r ® r r rr ® rir r <br /> n <br /> a zr <br /> CHAIN OF CUS' ODY/LABORATORY ANALYSIS REQUEST FORM Page_of0 <br /> E Shaw Environmental,a CBI Company) P.O. Direct bill to San Joaquin County h <br /> 180 Promenade Circle Suite 320 Sacramento Ca 95834 al 3 Z Lab: BC Labs,Bakersfield c h <br /> S t; Project Name:Corral Hollow LF,San Joaquin County Anal sis Requested K o <br /> s <br /> 1st Qtr 2014 Quarterly Ground Water a 3 Q" <br /> Project Number: 149271 ! 4 <br /> Report to: Sheila Richgels,CB&1 �- <br /> a o o <sheilo.richgels@CBl.com> 916-565-4327 I U ' w n m h <br /> b o w <br /> O ro <br /> o <br /> rn 0.1 ed �Cy HT1 ori �. <br /> C7`° a .n c C ONO - tD ig <br /> o H Sampler's Signature: ( Vj ° o ¢ o <br /> A U w U REMARKS n v, <br /> w Sample 2014 LAB Sam le LLPE 230m1 vons 500mt Container Types -n <br /> D. <br /> I.D. Date Time I. Mat,ixNP NP Ncl HNO3 Preservations o <br /> a MW-4 ^13-14 `l+1 - I water 6< 1 1 3 1 3, A <br /> a ' <br /> n MW-5 - Z wafer 6 1 1 3 1 H a <br /> D., ° SB-1 4" - 3 water 6 1 I 3 1 ; i P. r <br /> 0 <br /> w MW-6 water 6 1 1 3 1 I i -"_ _ 1___ J — to <br /> co 5 MW-7 - water 6 1 1 3 1 ro <br /> iR MW-8 'LtL -lD water 6 1 1 3 1 . �� <br /> ° <br /> N MW-9A `'�® - water 6 1 1 3 1CIO .1 <br /> +' <br /> MW-10A tU - water 6 1 1 3 1 s <br /> T o o <br /> MW-1 IA ,01 water 6 1 1 3 1 — w <br /> ` Field Blank -10 water 2 2 <br /> rn <br /> Trip Blank -I water 2 2 <br /> °r 9 RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> N » A REQUIREMENTS X 1. Routine Report <br /> Signator Sig aSigngynPl St n lure 24hr _48hr _sdey It. Report(includes DUP,MS <br /> m ° ✓'L/ 6 X smndnm t-Ia1 s r,o WS deyel MSD,as required,may be <br /> 9 Printed eme PrintANome Prh` eme rioted N me,(� Protide Verbal pmaminmy R-11, charged as samples) <br /> c <br /> Paul Weinhardt / S tJ/C R 9Jo��J P-1dePnXPrAminatyRents 111.Data Validation Report <br /> p Firm Firm/J Firm Fi j�y�, aenaeatea Report Delo: (includes All Raw Data) <br /> " g CD&I C /JJ J� X RWQC13 <br /> DaterFime Daterrime 1, Doti/Time n L 23Daterrime I=43 2 (MDLs/PQLsrrPACE#) <br /> 8 <br /> RELINQUISHED BY RECEIVED BY Special Instructlon Comments: Container Types Key: <br /> B a Picric report MDLs,PQLs,and Trace. BC Labs-Tina Green 40 rat VOA: 1 <br /> Si turaSigna 4100 Atlas Court 250 ml LPE: 2 <br /> b U Nitate Nitrogen has 6"48-lir HOLD TIME, Bakersfield,Ca 93308 500 ml LPE: 3 <br /> o rintedNa a Printed Warne I 66I-327-4911/Fx:327-1918 Iliter HDPE: 4 <br /> n <br /> *Incl m,p-xylene&o-xylene in 8260 results. Ship via UPS Acct 965376 500 ml glass: 5 <br /> c Finn Firm BC Lab Courier: 1 liter glass: 6 <br /> C '.� C1—�,�ij Ross Dickey a 661-201-4171 2x6 s/s ring: 7 <br /> o s Datef Ime •/3 t Datelrime - I glass jar: a <br /> �i 19.0 Qe(- K6-- 1-13-114 �2I;-o <br /> W <br /> 0 <br />