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r <br />Sampling Request Form <br />Requestor: �VNyI,% J n( u jy„U,,NA Date Requested: a .1 [ _ p S" <br />Send Results To: �,t WO-IAaw�y\ L -Code: g 7t -I Phone: `l ,g& S <br />WNormal Sampling G&A (Overhead Account) <br />❑ <br />Special Projects <br />❑ <br />Profile Verification <br />❑ <br />Conditional Profile <br />WEF #: <br />TAT: ❑ Normal <br />❑ Rush <br />❑ Emergency <br />❑ Other: <br />Client ID: IRWWWL <br />Report Form Code: &1� <br />Form Code: Z <br />CC Approval: <br />(InitiaVDate) <br />RCA Approval: <br />(InitiaVDate) <br />Full Scale Analysis: <br />❑ pH/N <br />❑ <br />TCLP 8260 <br />❑ <br />HMX/RDX/TNT <br />❑ <br />GAB <br />❑ <br />Alpha Spec. <br />❑ Anions <br />❑ <br />8270 <br />❑ <br />PETN <br />❑ <br />Tritium <br />❑ <br />Gamma Spec. <br />❑ 624 <br />❑ <br />TCLP 8270 <br />❑ <br />Fish Toxicity <br />❑ <br />Carbon-14 <br />❑ <br />TTLC Metals <br />❑ 625 <br />❑ <br />PCBs <br />❑ <br />Flash Point <br />❑ <br />ConGa <br />❑ <br />STLC Metals <br />❑ 8015 <br />❑ <br />PPM Oil <br />❑ <br />Cyanide <br />❑ <br />ConUPA <br />❑ <br />TCLP Metals <br />❑ 8260 <br />❑ <br />TATB <br />❑ <br />Reactive CN -/S+ <br />❑ <br />ConTUPA <br />❑ <br />Other (see below) <br />Other Analysis: <br />FVL Analysis: <br />❑ pH/N <br />❑ Radscreen <br />❑ Flash Point <br />Other Analysis: <br />[? TTLC Metals <br />2STLC Metals <br />EZ TCLP Metals <br />Date Sampled: 6 - I `I ` () 5 <br />Logbook Entry: <br />Comments: <br />W 4 �— -1ka �, <br />❑ Hydrometer <br />❑ Liquefaction <br />❑ Oil & Grease <br />❑ Paint Filter <br />❑ Solubility <br />❑ Specific Gravity <br />TiimSampled: �� <br />COC#: 0004 <br />WGSform0009(12/03) CONTROLLED FORM <br />❑ Other (see below) <br />