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Jul,. O. LLJUC ;_r,.I <br /> CeparrTrcritofTortc5utu4nc2v d SUPPLEN15-NTAL <br /> laardo=Materla3 L3baratory IC?+ x.f s•.vo&n m,A.Q, q <br /> AU T HORIZA TION REQUEST ! CRR 0 (AIRS-) <br /> FART A : (By Requestor• PLEASE PRt,vT) TAT Lsye) : 1:1 E <br /> (c"eco ono) '1 2 3 i <br /> Requestot's dame Z 14G Phone _5 8'�s <br /> RegionfUnit _ FAX S" "2 - 3 S'p/ <br /> BACK-UP REauESTOa /11 .G Sr�c �� Phone (S/D ) s i/O -3 9�5-Z <br /> S iTE: tI t r """cake <br /> PART B: Analytical Req ests (Ey Requestor) (Lab uses dclaun methods 11wed below.ALL eater recuests please specify) <br /> Number of Samoles/Typa Number of Samnles/Type <br /> Inorganic Analysis sola uquidIWater Other Organic Analysis sa+� ua,�d water Other <br /> Metals Scan (&010) CL-Pest (8081) <br /> Metal(s)Specific OP•ReSt(8141) <br /> WET 4 eii PCBs 8082) <br /> PH G R O (80158) <br /> Cyanides D R 01 Motor Oil ML 8167) <br /> ms IAt n-Hexane Extractables.(1664) <br /> m,.R. r,l Flash Point (1020) f <br /> TCLP Analysis N Q Vocs wd'.qHTEX (8260) � <br /> (see (ootnotes) om. wry+ eaT_P.p+,oteaa( EV005-(8270) <br /> Metals PAHs 82701 <br /> Mercury <br /> Volatiles toe+crs_.wftnt <br /> SemiVolatiles .�m <br /> Analysis Objective: 0 r"g H-20 Standards (2P0±d% cw o") =Ttearmam SImAtanig ;.owh i y..,;.ot <br /> (chock t)-) v ante C)raracterummn PIRGs �cmerz (wnoaue wv....m.r'"*w) <br /> Detection Umit Requicements. (w&=t_-t s.—*n on ciARata: <br /> (SpOCOV 3 Conewd Lab supwrvaors) <br /> Expected Cate of Sample AArr al at Lab . ; t. 0 tt <br /> ------ I-- - ------- <br /> PART C : (By STO-HML) <br /> Authorization Number(A�) 7 0131 - ARF's <br /> Name: Hazardous Materials Lab RrrlslanNo. <br /> -- - - Lab to Receive Sampiets) - - te. 150 -- - - - - <br /> Address: 700 Heinz St,-Ste.- <br /> Berkeley, CA 94710 El <br /> Sample Tracking Officer STO) Check box if cancelled <br /> Today's Cate: I O r - -`�ij O f�- Expiration-Oate <br /> TAT Ltve): *1- 10-15 days(raquwss X dsyc Sc 3t-a5dayr r wh4n gmtoN <br /> "TCLP' Iftimspermi4sxfdwLampFsmaUhe is.apPmPrmeLabrrmypwtorrrraTTLCoocsre+ei++q-lean+rlhe:swnpfe(e)ruatfadrfe,dTGLF1Tne9CCQ- <br /> PAHS 0-1'8170(LL),tad.&TEX Or d027(Gt1PtQ) marcs taws cxz far same maascsz(Sew K%AL users mwu;. .tar QC comparw*ftc VOR <br />