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CHAIN OF CUSTODY/LABORATORY ANALYSIS REQUEST FORM Page_of_ <br /> P.O.No: Direct Bili to the County <br /> ShQ® 180 Promenade Circle Suite 320 Sacramento Ca 95834 Lab: NC Labs,Baltersfield <br /> Project Name: Harney Lane LF,San Joaquin County f Analysis Requested <br /> 3rd Qtr 201.2 Ground Water <br /> Project Number: 139866 <br /> Report to: Sheila Richgels,Shaw.Environmental <br /> <sheiln.rlchgels@shawgrp.com> 916-565-4327 1 <br /> CC Report to: Jody Rhoades,Shaw Environmental c <br /> <Jody.rhoades@shawgrp.com> 916-K)5-4362 U vi F <br /> 0 o H <br /> Sampler's Signature: <br /> O ° I IREMARKS <br /> Sample 2012 LAB ISampla ti VOAs L.LPE 250 mi 500 LPE Confainct-Tytics <br /> I.D. Dote Time I.D. Matrix >t i<s t•tcl NP t•t2SO4 [41,103 Preservations <br /> MW-1 T$0 water „ 6 3 1 1 1 <br /> Q <br /> MW-2 ;30 !36 I water 6 3 1 1 1 <br /> i <br /> MW-4 - 7.30 837 I water 6 3 <br /> MW-5 _Q ?.3c) 19Mt water 6 3 1 1 1 I ':HK BY DI.'2Q110-L01 4 <br /> MW-6 - 7-30 water 6 3 1 I 1 I <br /> JT <br /> Field Blank_l. '73 U N1 (water 2 2 I SUB- ma <br /> Trip Blank 730 t J I water 2 2 <br /> RELINQUISHED BY RECEIVED BY I RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1, Routine Report <br /> Sign re 3i re ( Sign re Sigwlure 241w _astir 5day 11. Report(includes DUP,MS <br /> X Smndard(-10.15 ivorklns dnya) MSD,as required,may be <br /> Prin Nanta Pr d Nam + IP ri d Nante tinted N e ] Provide verba!Prcnminary nexulis charged as samples) <br /> L an ff v` :N" Z)(G I OSS �L Pra%ida PaNPra11m1nnry Results til.Data Validation Report <br /> Finn Firni Finn F <br /> ir Requested Requested Report dale: (includes All Raw Data) <br /> Shaw Environmental s I - X RWQCB <br /> Datc/Timc 7.3aI ) Daicrtint r , rL I Dale/1'ima �/ {� Daterrima _ MDLs/PQL9rPRACEH) <br /> hK RE,LINQUISIIED BY RECEIVED DY I Special Instrucllons/Comments: <br /> t� ,off. DC Labs•Tina Green <br /> Signa ore oat I Please report r&1RL's,PQL's and Trace. 4100 Atlas Court <br /> Bakersfield,Ca 93306 <br /> Printd Nant led me 661-327-4911/Px:327-1918 <br /> 11C ��h %� Ship via UPS Acct 965376 <br /> FirmFinn ( <br /> 7 j J—ia- 1 +�3 I EDDs to<susnn.tvntcrman@shnwgrp.cont> <br /> Dalerrinte D@cf IZ <br />