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M OrjR f M M Mn O�sto�ecM1 �3 <br /> Page of <br /> Facility Name: DVI <br /> site Time: Tem <br /> Site Name: Bum Pit ff-s.m Time' <br /> Temp: <br /> for California CDCR State or Lead Regulatory Agency: RWM <br /> [Sky Conditionseteorologict Events: <br /> Requested Due Date(moVdd/yy): StandardTATin S eed: <br /> Direction: <br /> b Name:Curtis and Tompkins,Ltd Facili Address: <br /> ddress:2323 Fifth Street ComuhanVConuactm: URS <br /> Berkley,CA 94710ddress: 28--- <br /> b PM:Mike Dahlate Oaks Drive Suite 300 <br /> Site IaVLon . N/A Sacrametao CA 95833 <br /> le/£ax:510.486.090000 lifomia Global m No.: SL205363007 <br /> e / tmsultant/Cotmaclor PM'ect No.: <br /> DCR Contact Marcie mam! 22 <br /> fos Project No.: N/A onsultant/Conyctor PM: Redmatd x 12239 <br /> He Desi tion: DVI-Rum Fit ddmss: e1e/Fax: 916.679.2000/916.679.2900 <br /> haxJlvBS: Monitoring wells rtT & Level: Icve13 with EDF <br /> W PhUerfa*: Anal .cal <br /> NHPaz' ask Cade' 200001®DTo: Marcie.mdmond@urs.com <br /> IAb Bottle Order No: rtvaice m: URS <br /> Malriz gcontainers w/preservative Requested Analysis <br /> Z <br /> Ilea r <br /> Sample Daeription E <br /> No. F Istrootary No. Sample Point Lat/Long and <br /> o E Comment <br /> w 0 a O <br /> 9 v 9 U V <br /> 5t o O m y is ❑ <br /> Y <br /> m p <br /> O <br /> o <br /> � � Q zz P O C <br /> I MW-2-BP Il� ip x 3 3 x _ <br /> 2 MW-2-BP -0Oml voaz,HCL <br /> x 11 x x x x <br /> 1-1 liter,no teservative <br /> 3 MW-2-BP x 1 1 <br /> x I-250m1,F12SO4 <br /> 4 MW-2-BP x 1 I <br /> x 1-500ml-no teservative <br /> 5 MW-2-BP x 3 3 <br /> 6 x 3-40ml von-no reservative <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: <br /> aiehma /Amli Date If---Tone <br /> Sam Ices Com an : URS L� see By/Amfufraa a Thne <br /> Shi ment Date: <br /> r <br /> 1 Shi mens Method: 6VA .N <br /> Shipment Trackin No: <br /> S ill Instructions: Anions Chloride,sulfate and nitrate), Dissolved:arsen e,barium,cadmium,chromium,eo r,iron,lead, <br /> man anese,m mium,mere ,mol bdemum nickel,seleniu sil.ra. Dissolved Metals:Fitter&Preserve at Lab! <br /> p <br /> Custody Seals In Place Yes No Tem Blank Yes o <br /> Cooler Temperature on Receipt_°F/C Tri Blank Yes No <br /> tit / <br />