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M Cin of Custod ecor nl�i�2 _ <br /> URS Page of <br /> Facility Name: DVI ite Time: <br /> Site Name: Bum Rt Tm" <br /> -site Time: Temp: El <br /> Cor California CDCR State or Lead Regulatory Agency: RVACO kr oonditiom: <br /> eleorological Events: <br /> Requested Due Date(mm/dd/yy): Standard TAT Wind S <br /> Direction: <br /> Name:Curtis and Tom kim,Ltd Facili Address: ConsultanVContrador: URS <br /> mss:2323 Fifth Street <br /> adrese: 2870 GatewayOaks Drive,Suite 300 <br /> Gere ,CA 94710 Site lama WA Sacramento,CA 95833 <br /> lab PM:Mike Dahl Wrt alifomia Global ID Iqo.: 51205363007 <br /> ele/Fax:510.486.0900/ Consultant/Contractor Project No.: 17327022 <br /> otos Project No.: N/A Consultam/ContractorPM: Mareie Redmond x 12239 <br /> MCRs: tact Site Desi tion: DVI-Bore Pit Tele/Fax: 916.679.2000/916.679.2900 <br /> ddrcss: hase/We/T esoetoria welb e n & Level: I.eve13with EDF <br /> Sub Phasell'ask: Anal ittl mail EDD To: Mareie.redmond urs.com <br /> e b B tt ask Cade: 20000 <br /> Invoiceto: URS <br /> Lab Bonk Order No: Matris M rnetainen w/presernflve Requested Analysis <br /> 2 <br /> U <br /> Item Sample Description E v _ <br /> No. oa Laboratory No, v OV Sample Point faVl.ongand <br /> o E F <br /> Comments <br /> v E $ O <br /> a 3 U U <br /> v <br /> O V a V O m a iT O <br /> n O O > P O o E <br /> 1 MW-6-BP ( x 3LL <br /> 3 z - <br /> 3-40ml vows HCL <br /> 2 MW-6-BP z 1 1 x z x x <br /> 3 1-1 littt no mservative <br /> 3 MW-6-BP x 1 I x <br /> 1-250m1 H2SO4 <br /> 4 MW-6-BP x 1 I x <br /> 1•500mI-no preservative <br /> 5 MW-6-BP x 3 3 <br /> x <br /> 6 340ml vows-no Preservative <br /> ` <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Samplers Name: 0.gai,hed By/AtaBa W. <br /> Sam let's Company: URS mt. r'"e Accepted By/Affiliation Dat rime <br /> Shi mens Date: / <br /> Shi mens Method , r 7 / q <br /> Shi ment Trackin NO: <br /> S tial InatruedoBs: Anions(Chloridq sWfate end nitrate; Dissolved:arsenic,barium radmimn,cluomi . <br /> Manganese,magnesium,mercury,mol bdemum,nickel selenium silica Dissolved Metals.Filter&Prese"e at Lab! <br /> 11 Custod Seals In Place Yes No <br /> � Tcm Blank Yes No Cooler Temperature on Recei t_°F/C <br /> P TnE Blank Yes No <br /> A <br />