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0® Av vn507 nqq <br /> rwvku"Teawrmw's5olmkaaToday. Chain of Custody LABORATORY WORK ORDER ID <br /> Gonwy PSC sampler Alex M. /Ken T. <br /> Name <br /> ConMGy RICK Ricks Namme fo+y Test America Anely9s Requested <br /> (916) 747-2986 Psbo ry (925)484-1919 <br /> A —— <br /> PomM 2501490993-/2009146 scs/Po Pending z— <br /> wsre McDonald Island Production Tank Sad Job No. Go <br /> ol <br /> 17& 15Q3-Q0B4 J9662 r <br /> or)siaf McDonald Isle Ca. t 7�.. LD3 0003-gyp a 7( v s g <br /> Locebon U � v � y' m N <br /> (,� 5 work (�3 work 2 wnrh l work 9i <br /> B Requested Tumorowd Time �:.-days `��tleys ��.-'dey �..��da a N U a+ 12 i <br /> dv� gSem le Idenbfioaffn Sample Sample Sample Semple Containers SampleSpecfic Notes tD U �,-O, o o <br /> p Data Time MetdX Type Volume No. P-Aa) ° C, m d d K 2 Z r i ro <br /> 1 whiskey slough-tankAC'-(f, 1620,1 JI)o liquid poly 250m] 1 ✓ <br /> 2 whiskeysloughdankir liquid PoIYHNO3 250ml 1 ✓ <br /> s whiskey slough-tank#L-.6 liquid glass HCL 40m] 3 ✓ <br /> 4 whiskey slough-taniall liquid glass 1L 2 ✓ <br /> 5 whlskeyslough-tank# 4j liquid glass 1L 2 ------------- <br /> ✓ <br /> a whiskey slough-tank# G-,�Q liquid glass 40m1 hcl 3 ✓ <br /> ------------- <br /> 7 whiskey slough-tank#G.•( liquid polyHNO3 250MI 2 1 ✓ <br /> C <br /> e whiskeyslough-tandl C—(p liquid poly 250ml 1 No head space ✓ <br /> e whiskey slough-tank# G''•4j liquid poly 250MI shared 1 ✓ <br /> W le whiskey-swrih--mrdW liquid poly 2scmi n m 1 -- <br /> rl, 44 whMkeyel5agh4snldf liquid poly 1 25oeu sneretl 1 <br /> ----------- -- <br /> 44 lekey-sleugh•tenldl- II�IIIIIINI�IIIIInIIII�NIIII�IIIIIII�IUIIIBII�II <br /> is <br /> t4 72D-75507 Chain of Custody <br /> 15 <br /> lns6octlons to Laboratory(check all that apply) <br /> ❑1.Run extraction for STLC/TCLP Metals and hold. Q EFS Ralph Roberts <br /> D <br /> 2.Run WEr if TTLC result equals or exceeds 10xSLTC. M PSC PM Dave Matthews (main contact) <br /> ❑3. Run TCLP if TTLC result equals or exceeds 20xsTLC. <br /> 4. Run TCLP if S result equals or exceeds S-H-C. 0 Non GT <br /> 5.Run Asbestos CARB 435 if any asbestos fibers=re detected in Asbestos(PLM). <br /> Relfnqutehed Dale/ )b•✓�� )t( Received Date/ <br /> by(PRINT I tt by(PRINT <br /> AND SIGN) - -1 U. 'me <br /> �-N 7,' ANDSIGN) TM <br /> Rekngashed UUU"""""" Recaved <br /> E by(PRINT Dotal by(PRINT Date/ <br /> AND SIGN) TIMrimSIGN) Tune <br /> by <br /> Date/ (� Date/ b`• `� <br /> by(PR/NT Received m `Vf�„f��,-"�) p _ <br /> AND SIGN) TIM Laboratory by Tme <br /> -IYY CCRtla WYet WrcNAMvclae.me toes uue." <br /> (17 <br /> F I comments v�Lvul pey��. pd.m ua .o auP. a,ro <br /> Pn}6-WLriiIYMAw1tlm Tit YrPXq' � t/� <br /> Page 23 of 28 11/7/2016 <br />