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;i r; � ;State of Calif jnla Department of To*Substances Control <br /> 7n r - Environmental itory <br /> FNV)RONME TALCHEMISTAYLABORATORY 1,Authorization Number ECL No.: 2. Page <br /> N YSl9 REQUSSY f 18FAoo61 TO 1 of 1 <br /> 3.PequestorI(to Rpos"Rescits) a.Name; Anne Ekkor 4.Project Name(if applicable): <br /> b.Address: 13796 Corporate Ave, - <br /> ' ress,(*90630 _ (city,ataW,apt <br /> o.Phone: ( 14 484-6300 (aaa nide Ow) d,Parc (714)484-5496(area ada W) 6.TAT Level: 2 <br /> e.Email: anne.ekker- @dtsr w.gov6.Samplinginformation; a..Dat%7unaSampled: 11/28/18 (mm/ddtyy) 7,Codes(adaakandropdoanpA«aunKanik-.Na) <br /> b.Locatlon:EA ID No. CAL 3517 1 (#..M AM)PM)a.Unit v.an�aatcn aw Mv.,w,x„gc�p..;y <br /> n! Thatdxr Co of California,Stockton b.Project ID DTSCHWMHWCA <br /> ( ress: 10101rdusbial Drive (atrealamber) 0.Activity ID 38195 _ pv <br /> StocktonCA 95206 (dry,atab,44 d,MPC 962 <br /> JJGP, S-4t: _ GPS-long: e,County3,(P-San Joaquin <br /> yt,� -..:.a. .:YP9-AM: - -GPS-Depth: - <br /> . , 8.Samples: - f,Num bar of <br /> 00,b.Col Des No. 0,ECL No, d,MabiX e.Container Size - containers 9.Preservative t Fled Information >— <br /> C <br /> 1 TOS 01 ,and B . Water 1 ya0on deat9 ass Jar 2 ICet watet from stonnwatar plpo <br /> 2 TOS-02 Solid 32 oz deaf glass jar., :"1 loe)coed leaking from dumpster <br /> 3 TOS-03 tiVJd,APaan 32 azclear glassJar ... 1 lea fJH2So4,0 <br /> 4. TOS-04 , ff{ras waste from tote <br /> ' SoNGraVal 10ozclearmassJw - 1 ioetdust/gravelcleamoutkonisWnp <br /> uv)e,w..AA.,. 32 oz dear glass Jar 1 <br /> b TCS-09 4 ., ice/caustic Nquid in sump from sink <br /> 6 <br /> 7 — <br /> 9 <br /> g.Analysis Requested:Enter sample IDs and sample ID ranges separated by mommas.For example,1-3,5.7,9 p i <br /> a.inorganic Analysis Sam s),ID_ b,Or-anicMatysls'' ' - Sesnpie(s)ID I <br /> GOMS—Samf4latiies(82700 or 82700) 12 t �0 <br /> D <br /> c.TIILP Malysis d..OtherAnatysis <br /> Fish Bioassay(Title 22,Flshelo) 1-5 <br /> e.Comments or MulilphasicSamplWAtWysls PdoMy. _. <br /> 10.Analysis'.bjective: Waste Classification <br /> 11.Detection Umit Requirements: - <br /> 12.impolam4ntall Requests:Enter&ample.IDs as described in Kern 9 18.ECL Lab Remarks: .. <br /> Deatrad Anal'ya(a Same 9)10 e <br /> I Initials CF )""a A. <br /> •a <br /> Dat. a <br /> 14.Client of Ousteo. . <br /> Nam I Me Slgrmture Inoluslve Dates MCost - <br /> ap Clark Sup..Sr.Ern.ScigrNst 11/2812018 t0 A112912018 U ; <br /> h, BomyLew. EmlrorimerdalSclerdlst - <br /> 1129r201S to ( .. <br /> c. Cwilm Alin y , J1 IAOJAQ?' tko ,1 4 , o J <br /> a .� <br /> f to <br /> 91 'to <br /> . 0.of44OQrevf f22&20f7fppo.sW.6y'quagyManagenroMOlEcn. Make �r <br /> P'wtompl's for You Fee',:.. i <br />