Laserfiche WebLink
CHAIN OF CUSTODY I LABORATORY ANALYSIS REQUEST FORM Page —of_ <br />CBI Environmental & Infrastructure P.O. ��li')!bill %ttf36li#(iiii,Cotitity:� <br />d% <br />180 Promenade Circie. Suite 320 Sacramento Ca 95834 Lab. BC Labs Bakersfield <br />Project Name: Corral Hollow LF, San Joaquin County. <br />Analysis Re uested <br />2nd Qtr 2014 Resemple 9A, 10A only for Toluene <br />Project Number: 149266 c <br />Report to: Shelia Richgels, CBM 8 <br /><sheila.rlchgels@CBi.com> 916-565-4327 tl <br />O k <br />..Ti <br />r �7iS' o 0 <br />4 � <br />3amplet's S)gnature: <br />° <br />REMARKS <br />Sample 2014 Sample 40ad VOA <br />LD. Date Time Matrix �: HCt <br />coruainsrT <br />Preservations <br />MW-9A / water 3 3 <br />kLA <br />MW -10A water 3 3 <br />Tri Blank N/ water 2 2 <br />itELI UISHEb BY <br />RECEIVED BY <br />REL INQUISIIED BY <br />RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br />REQUIREMENTS X 1. Routine Report <br />Signal 24hr __44b 5d" 11. Report(includes DUP,MS <br />X ate(-1@.15..ekh%d r.) MSD, as required, may be <br />Si n <br />S urs <br />Sign me <br />Pr Mod Nmam rr«.Ide vast rr flma.y Rauh. charged u samples) <br />Noted Name1'ri <br />N <br />PH Name <br />Paul Weiphardt <br />- . <br />rAx eaawaa y aaoh. 111. Data Validation Report <br />Firm <br />CB&I <br />Firm <br />Firm <br />$Gi-oz <br />Fima R"W d an.n txa (includes All Raw Data) <br />C x RwQCB <br />Daterrime MD ACEII <br />Date/time <br />Dme/rime _• / /d <br />Datcrrim • <br />RELINQUISHE BY RECEIVED BY Special Instraetiona/Comments: <br />BC Labs -Tina Green <br />sin tune Signa! Please report MDLs, PQLs, and Trace. 4100 Atlas Court <br />o CHK BY 1 TRIBUTION Bakersfield, Ca 93308 <br />tinted Name P '"(ad Name ` ��'�� 661-327-4911 / Px: 327-1918 <br />{ <br />361.51; Ship via UPS Acct 965376 <br />Firm Firm Q SUB -OUT M BC Courier: <br />$CL,� Ross Dickey cQ 661-201-4171 <br />lkfle/rims .i- a Date/Time , <br />n <br />S <br />w <br />7 <br />-0IFh <br />n -, <br />c , t" <br />� o <br />Q 3 <br />K G) <br />w � � <br />9. —I <br />0 <br />O m <br />T <br />to tr �. <br />O <br />42o <br />0 (S, <br />0 <br />a <br />V <br />ur <br />w <br />O <br />N <br />