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To Be Completed by PM and/or PC: <br />Sample Analysis to be conducted (circle all that apply): MN Subcontract Lab <br />Name of Subcontract Lab (s): <br />Pace National <br />REQUIREMENT <br />Document Name: <br />Document Revised: 13Feb2018 <br />ZeAnalyficalq <br />Regulated Soil Checklist <br />Page 2 of 2 <br />Document No.: <br />Issuing Authority: <br />YES NO N/A <br />lab, including IR Pace Labs. <br />F-MN-Q-338-Rev.06 <br />Pace Minnesota Quality Office <br />To Be Completed by PM and/or PC: <br />Sample Analysis to be conducted (circle all that apply): MN Subcontract Lab <br />Name of Subcontract Lab (s): <br />Pace National <br />REQUIREMENT <br />ACTION <br />COMPLETED <br />Permission to ship untreated soil must be <br />Go to: J:\SHARE\PRJ_MGR\10_Client Services Department <br />on file prior to shipping to any subcontract <br />Documents\Regulated Soils Permits — if permission to ship letter is <br />YES NO N/A <br />lab, including IR Pace Labs. <br />not there, contact the Waste Coordinator. <br />Shipment must include a valid copy of the <br />Is a copy of all needed paperwork included with the COC? Do NOT <br />receiving lab's permit as well as permission <br />ship samples until all necessary paperwork is compiled. <br />YES NO N/A <br />to ship letter. <br />Comments: <br />Project Manager Signature: �� Date: <br />06/18/20 <br />Page 22 of 22 <br />