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M M ® M M ® M M M M ® ® ® M M ® ® M M <br />CHAIN OF CUSTODY / LABORATORY ANALYSIS REQUEST FORM Page _ of <br />n CBl Environmental & infrastructure P.O. Direct bili to San Joaquin County <br />1R0 Prnmrnnrip rirrip Csritn Q7A Cnn.o., ,.,s r„ nroaw <br />Project Name: Corral Hollow LF, San Joaquin County <br />Analysis <br />Requested <br />iSL Laps, iialcerst eld <br />2nd Qtr 2014 Ground Water Sampling <br />Project Number: 149271 <br />4F <br />Report to: Sheila Riehgels, CB&I <br /><shciln.richgcls@CBi.com> 916-565-4327 <br />u <br />Ob <br />U <br />m <br />ka, <br />Sampler's ignature: { (� <br />°' <br />� <br />o <br />°O E <br />o <br />A <br />� <br />U <br />v <br />W v � <br />v <br />V � v <br />REMARKS <br />Sample 2014 LAB Sample <br />L. LPL• <br />250 LPE <br />40ml VOAs <br />From LPL• <br />500m1Container <br />Types <br />I.D. Date Time I.D. Matrix <br />NP <br />NP <br />HCl <br />NP <br />tIN03 <br />Preservations <br />-' MW -4 <br />water <br />5 <br />1 <br />1 <br />3 <br />Z- MW-5Iry <br />water <br />6 <br />1 <br />1 <br />3 <br />XX <br />1 <br />d3 SB -1 \110- I <br />water <br />5 <br />1 <br />1 <br />1 <br />3 <br />�4 MW -6 57 <br />water <br />5 <br />1 <br />1 <br />3 <br />MW -7 e pie, <br />water <br />5 <br />1 <br />1 <br />3 <br />M W-8 1G�� <br />water <br />5 <br />1 <br />1 <br />3 <br />': <br />s ' <br />MW -9A '�t� <br />water <br />5 <br />1 <br />1 <br />3 <br />DO <br />7 r_ <br />—15 MW -10A 21 water <br />5 <br />1 <br />1 <br />3 <br />a � - <br />•-9 MW -1 ]A S6 water <br />5 1 <br />1 <br />l <br />3 <br />M Field Blank N1 1 <br />water <br />2 <br />J <br />2 <br />—11 Tri Blank NI(} <br />water <br />I <br />1 <br />2`— <br />RELINQUISHED BY <br />RECEIVED BY <br />RELINQUISHED <br />BY <br />RECEIVED BY <br />TURNAROUND <br />REPORT REQUIREMENTS <br />Sim n rc <br />(� t <br />Signatur <br />REQUIREMENTS <br />24 hr hr day <br />X 1. Routine Report <br />ti. Report (includes DUP, MS <br />Signal ! <br />Sig���� <br />L <br />ie <br />\ I a <br />_49 _s <br />Prin Nam <br />0 <br />Printed Nan t <br />X <br />Standard (-10.15 working days) <br />MSD, as required, may be <br />Printed Name <br />Prin Nam <br />Paul Weinhardt <br /><C1C'S C <br />/� <br />�Q <br />Firm <br />r ' G <br />Firm <br />fh) <br />Provide Verbal Preliminary Results <br />Pro,ideFAX Preliminary Rendis <br />charged as samples) <br />Ill. Data Validation Report <br />Finn <br />fi <br />CB&I <br />C. <br />� <br />Q <br />t2 <br />Requested Repon Date: <br />(includes All Raw Data) <br />Datcrl'ime <br />2, /S 6 <br />k7C <br />Datclrime <br />_p, <br />.2-14/ /_5,' %(MDLs/PQ1sI1 <br />X RWQCB <br />RACGN) <br />Date/Timc •2, L <br />Datefrime 5',2 /S <br />RELINQUISHED BY <br />RECEIVED BY <br />Special Instructions/Comments: <br />Please report <br />MDLs, PQLs, and Trace. <br />BC Labs - Tina Green <br />4100 Atlas Court <br />Signatu <br />sip, <br />.z <br />Nitrate Nitrogen has a 48 -hr hold <br />time. <br />Bakersfield. Ca 93308 <br />661-327-4911 / Fx: 327-1918 <br />Printed Na�TT�,,e <br />Pri�}� to <br />2S�` i5 C£►.jh <br />.44 <br />**** Incl <br />m,p-xylene & o -xylene <br />in 8260 <br />results. <br />Ship via UPS Acct 965376 <br />Courier: <br />Ross Dickey a 661-201-4171 <br />Firm <br />�< L IN5 <br />FledBC <br />kAAN("') <br />Datc/Timo !;b IDtclCimc <br />