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Chain Of Reenrrl Page bvf C� <br /> Facility Name: DVI On-site Time: U 6 n Temn <br /> UK* Site Name: Bum Plt <br /> ff--she Time: / 6 Temp: <br /> Sky Conditions: S4 <br /> for California RESD State or Lead Regulatory Agency: RNACB-Central Valley psgion teomlogical Events: <br /> Requested Due Date(mm/dd/yy)• Wind S Direction: <br /> b Name:Cartes and Tom kips,Ltd Facility Address: onsaltad/Contmemr DRS <br /> ddnms:2323 Fifth SOeU <br /> Address: 2870 Gatewa Oaks Drive,Suite 300 <br /> Berkley,CA 94710 - Site lat/Lon N/A <br /> PM:Make Dahl Sacramento,CA 95833 <br /> Ca ,Global No.: SL205363007 Consithant/Contmctor Project No.: 17326382.07000 <br /> ele/fax:510.486.0900 001/ lUnma ID nfos Project No.: N/A ConsWtant/Contractm PM: Vernon Elarth <br /> D Connate Site Desi 'on: DVI-Burn PitTele/Fax: 916.679.2000/916.679.2900 <br /> Address: hase/WBS: monterin wells Re rtT & Level: Level2mth EDF <br /> Sub Phase/[ask: Anal 'W E-maiIEDDTo: Marcie Redmond urs .Com <br /> ele/Fax: ask Code: 07000 Invoice to: URS <br /> Lab Bottle Order Na: Matrix acontaelers w/preservative Requealed Analysh <br /> 2 <br /> e <br /> 3 <br /> 0 <br /> Iwo - <br /> Nn Sample Dmcripdon F Laboratory No. e p Sample Paint Lat/Long and <br /> ti Comments <br /> 2 B <br /> V � .. <br /> O o 5 <br /> y 3 a x x o Q m D 8 a <br /> 1 MW-7-BPx 3 3 r _ <br /> x 3zVoas <br /> 2 MW-7-BP (2 4L x 3 3 x x x x lx250m1,2x500m1 <br /> 3 MW-7-BP 242- x 1 1 z 1x250nd glass <br /> 4 MW-24-BP 1310x 3 3 x 3xVoas <br /> 4 5 MW-24-BP 7!° x 3 3 x x x x Ix250nd,2x500m1 <br /> 6 MW-24-BP x I I <br /> x Ix250m1 glass <br /> 7 MW-25-BP D x 3 3 x <br /> 3xVoas <br /> 8 MW-25-BP I141 x 3 3 x z x z <br /> 9 MW-25-BP jl 0 x I 1 lx250ml,2x50Dml <br /> z 1x250m1 glass <br /> 10 <br /> Samplers Name: uyti K tlio uirhed By/AmludaoDae Thne Arae ted 8y/ARIini.. Dao III.. <br /> Sam mels Com URS a/ <br /> Shi mens Date: z- <br /> Shi went Methad CoMIM <br /> Shi mrnt Tracker Not Hip <br /> 5 eel IRstrucdons: Anions(Chlodde,sWfide,sulfate and marine);Dissolved:barium,arsenic,imm mangenew <br /> Dissolved Metals: Filter&Preserve at Lab! <br /> 0 aCustody Seals In Place Yes No Tem e Blank Yes No Cooler Temperature:on Receipt of/C Trip Blank Yes No <br /> M <br /> —4 - <br />