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NU.Utb <br /> Nov. 1.2901 1:57PM CRL/EPR DTSC - HWMP <br /> Depostrav or Toe,Swaaeneec CM&W SUPPLEMENTAL. <br /> Naardous Ma(enals Lab, ory da..Namwa <br /> AUTHORIZATION REQUEST FORM (ARF) J <br /> PART A : (By Reque PLEASE PRINT) TAT Levet : Eg�- 0 <br /> �y ycneek one) 1 2 7 4 <br /> Requestoes Name I �y� ^ " � Phone <br /> Region/Un il aJLL� FAX <br /> / s <br /> BACK-UP EOUESTOR F Phone 5�) <br /> SITE: � F�FsrtsA _ 1 rbepx 33 — <br /> PART B: Analytical Requests (By Requestor) (Lao urea de(au0 m*V Ws hared below,ALL 0~rerluests please adeoity) <br /> Number at Sarr.,Plee pe Number of samdea/Tyve I <br /> / <br /> Inorganic Analysis sped ugutl w.re Oner Organic Analysis Scud Liquid Water ocher <br /> Metals Scan (60 10) CL-Pest (8081) t <br /> Metal(s)Specific: OP-Pest(8141) 3 <br /> WET PCBs 8082 <br /> PH G R O 001 5B) <br /> Cyanides ORO/Motor Oil (MML 816) <br /> n-Hexane EAractables 1664) <br /> Flash Point (1020) <br /> TCLP Analysis •• vOcs K.e-asm (8260) <br /> (see yuornores) (w-y•"r raam peTMP.aarma.n. SVOCs (8270) - <br /> Metals PAHs 8270) <br /> Mercury <br /> Volatiles <br /> Semivolatiles <br /> Analysis Objective: =Drbilting Hao Standards (apphss iv DW Dory) OTrealme"1 Slsndwda a" <br /> (chek boa) Cnaractertzsvon =FRGS �0lners impec+�:aypera,pfadre-daal <br /> Detection Unlit Requ1lre`\ments: (mustoeSnawnansAR`also) _ <br /> (speeiry 4 o w Lab eupem�,.',..� <br /> 11` �Ywl�`�ooCLll��� <br /> -stiExpected Date of Sample Arrival at Lab 1 1 I r--t I <br /> PART C : (ey STO -LiML) <br /> Authorization Number(AN) ARF's <br /> AertLon No. <br /> Lab to Receive Sample(s) <br /> Sample Tracking Officer(STO) <br /> Check box if cancelled <br /> Today's Date i �i i Expiration Date <br /> TAT Level '1- 1615 days(I-w"M1 ddds signarusa w1 Sw 2-is-30 days 3. 31-a5 days 4. wMn possible <br /> —rCLp: 1 I Erna permta ander umpN mama typo h sppmpmre Lao may sadam a r%c w waaftnq ictal oo Ina samNals)rim IO d wm",r TCLP 4 needed <br /> PAHA W 6310(LC),aw BTP_x by 8021(GC/RD)mq weduee m-ea Oils rw soma matdess.(S.HN L user,manvL for OL cvmpariams) 3l!!R <br />