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i <br /> ISO W0 70,50f <br /> Rcvk&,Tumormwl Soludaro Tod* Chain of Custody LABORATORY WORK ORDER ID ' <br /> Company PSC sampler Alex M. / Ken T. <br /> Noma <br /> company Rich Ricks Labomto Test America Analysis Requested <br /> GoMact <br /> Nam <br /> Phone (916) 747-2986 La Phone (925)484-1919 ,o <br /> A — —el -- -- i <br /> pwm 2501490993/2009146 scstpo Pending z <br /> P'*" McDonald Island Production Tank Sao.lab Na. 't78=45fl3-608 -J696z''- € <br /> Project1�2,`t� <br /> or Site McDonald Isle Ca. o " m g <br /> Location <br /> R uaafed Turnaround lima ✓ v tO 6 M m <br /> 5 work 3 work 2 work r work <br /> 0. <br /> B (��days ��days ���day ��)day 2 Z ro w v <br /> Xf a <br /> Sample Sample Sample Semple contamars Sample-speratm Notes uJ o W = = 5 a .W o ;? E <br /> Sample Idenfiticedon Date Time Mem Typo Volume No. (LA9) U ro H d n `¢ ec U Z m m <br /> I whlskeyslough-tank#f3--a IQ.ag_14 rj liquid poly 250m1 1 1 ✓ <br /> 2 whiskey slough-tankil Q_ liquid pay HNO3 250ml 1 ✓ <br /> s whiskey slough�tank# liquid glass HCL 40m1 3 ✓ <br /> 4 whiskey slough-tank# liquid glass 1L 2 ✓ <br /> s whiskey slough-tank# liquid glass 1L 2 ✓ <br /> s whiskeyslough4ank# D-,_ liquid glass 40mlhcl 3 ✓ <br /> 7 whiskey slough-tanldt p.`a liquid poly HNO3 250mi 2 ✓ <br /> C <br /> e whiskey slough-tank# Q-a„ liquid poly 250ml 1 No head space ✓ <br /> s whiskey slough-tank# D liquid poly PSomrshcmd 1 ✓ Yv <br /> e whIklylillabJankE, liquid poly 250aash..d 1 '% <br /> -------- ------ <br /> 9T iskay.slough.tankf liquid poly 250m1e1eemd 1 V4 <br /> .tk' Is-whlskay.clough4mM lige . . <br /> 1a �II �NII�IIIIIIIIIR�I ���Vllil� - - - - <br /> 14 <br /> 15 720.75504 Chain cf Custody <br /> Instructions to Laboratory(check all that apply) <br /> ❑1.Run extraction for STLCfTCLP Metals and hold. 0 EFS Ralph Roberts <br /> DEl2.Run WET if TTLC result equals or exceeds 10x5LTC. ElPSC PM Dave Matthews (main Contac_t) <br /> 3.Run TCLP if TTLC result equals or exceeds 20xSTLC. ❑ <br /> ❑4.Run TCLP if STLG result equals or exceeds STLC. +❑Non GT <br /> 5.Run Asbestos CARB 435)If any asbestos fibers were detected in Asbestos PLM). <br /> ReNnilinhed v� <br /> by(PRINT 7 q Date/ ` -i`( by(PRINT <br /> AND SIGN)`�� t,� Tim } /�., AND SIGN) n <br /> Refingolshed Daft/ Received DatU <br /> E by(PRINT by(PRINT <br /> AND SIGN) TimAND SIGN) Tim 1j <br /> by Roh <br /> DatU �7, u\A l� Y U . Dale!����ry <br /> by(PRINT Received in VVV"` f/""` ___ --_���""lll <br /> AND SIGN) Laboratory by Tare <br /> Time <br /> ooe •-- •+nuy..iuw.aruv�,memvwy— <br /> F Commanfs <br /> nwrucm+e u..ecne.amr.r<w�Y �� (7 C� S.�L ��p` <br /> -✓L <br /> Page 22 of 27 11/7/2016 <br />