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l,(droChel1 iP 5!1, PG&E GT Waste Stream Chain of Custody LABORATORY WORK ORDER ID <br /> Sampler S—PI,Name <br /> Company HydroChemPSC &Phone Alex Manalili 408.472.1374 <br /> PSc <br /> °°r <br /> ,, — Rich Ricks 916.747.2986 Lab Name Test America Analysis Requested <br /> Phone <br /> Pab <br /> B Ph ne Nathan Christman 559.410-5011 Phone (925) 484-1919 <br /> A <br /> PG&E JN 74012406 scsl Po PGT1912001 <br /> PG&E JOB <br /> IU I Name R-1036 PSC JN 116-1910-0003-JO013 <br /> Job <br /> LocatioTracy� CA. <br /> n w -JU) a � <br /> B Requested Turnaround Time (` )5 work (7)3 work (�)2 work 1 work w m <br /> N • <br /> days days day day O u o d <br /> r C C? 0 u V O N S <br /> Sample Sample Sample Sample Containers Sample-Specific Notes r _ _ = U m O °b <br /> Sample IdentificationSample <br /> TimeMatrix Type VolumeJNo, (LAB) UHHd Od> O a Q <br /> LL <br /> R-1036-soil-disposal-1230 12/30 ao soil jar 8,16oz. 2 ✓ ✓ ✓ ✓ ✓ ✓ ✓ <br /> 2 <br /> 4 <br /> s I <br /> 6 <br /> 7 <br /> C <br /> s I <br /> 9 <br /> 70 720-96'745 Chain of Custody <br /> t1 I <br /> 12 <br /> 13 <br /> 14 <br /> 1 1 1 E ±11 <br /> Instructions to Laboratory(check all that apply) <br /> 0 Run extraction for STLC/TCLP Metals and hold. ❑ <br /> D ❑� Run WET if TTLC result equals or exceeds 10xSLTC. - ❑ —_ _ _ <br /> Q Run TCLP if TTLC result equals or exceeds 20xSTLC.__ Q Email confirmation and results to GTSpoils@Jacobs.com <br /> ✓❑Run CARB 435 if asbestos fibers are detected under PLM Email confirmation and results to gtsampleresults@pge.com <br /> Relinquished L MI TI ( I L IZ'� Received �i''^ �h6L 12- - <br /> Dare/ Date/ <br /> Time <br /> by(PRINT by(PRINT Time <br /> AND SIGN,) —4-tl - &t-, t 3 s AND SIGN) <br /> Relinquished / Received <br /> E by(PRINT Date/ by(PRINT Date. <br /> AND SIGN) Time AND SIGN) Time <br /> Relinquished <br /> by(PRINT Date/ Received in Datei <br /> AND SIGN) Time Laboratory by Time <br /> F comments SOIL = contaminated soil from liquid spill (Vacuum Truck ) 1 drum <br /> Page 19 of 20 1/14/2020 <br />