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State of Calkomla y414{tt, Department of Toxic Subatanoes'Contrd <br /> 1110000 1 <br /> ENVIRONMENTAL CHEMISTRY LABORATORY_ 11,Authorization Number ECL No.; Op 2. 2. Page <br /> SAMPLE ANALYSIS REQUEST '.'r To rea6 f 1 of '1 <br /> 3.Requestor:(oReceMpRpsdk) a.Nama: 'AnneEkkef 4.Project Name(tfapplicablef; <br /> b.Address: 6796 Corporate Ave, • ryuaai,.mn«y <br /> • Cyprees,CA90830 (AYE."b,ap) <br /> o,Pholte; (714)494-S309 (ueawdeaei) d,Fax (Yo)4&46496tw goo aro) 6:7ATLpvelt '.2 <br /> a.Emall;. anne.ekker @dleo.oa,gov <br /> S.Sampling Information: a,oatmme Sampled;WW28116 (mmhidW) 7.C90es(e6Klkvmyvdavn wtual in a eppeaw) <br /> b,Lowlion)EPA IDNo; CAL000433ZIl i (MAM/PM)a,Urm rm awdumww..igs,,.oyp..y <br /> Site: Thalchw Cool'Caifonustoomon- , b,Projed ID Q=GWWMWUCA,ptSt414jgj,I <br /> Address: 10101ndusbial'Wve (.w nwrbw) aAoSvltyl0 36196 . <br /> $tod*,CA06200 (dly,ar^;* d.MPC 052' 191ah) <br /> OPS-.at . OPS4_ong a County 39-San.loaquln <br /> GPS-AIt; OPS-Depth: <br /> &Samples: C Number of ' <br /> MID b.•CQKOCWe W. c.ECL No, d.Matrix e,Contairw Size containers 9,Preservative/Field Informatlon <br /> 1 TCS-06 113CO092 IuwaN"*r oz qeet.&V W _ I• 1 ftw/woun bypcdtbrlm warp m,m pipe <br /> Fay 014 6VAISF <br /> 3. TOSAI 0/ A4 • +Wu.xx�116 cl—dAT W191Ar 1 k.i.onpie rnrlerkYgeaEe kwpep bFpn rse <br /> 6 <br /> 6 <br /> 7 <br /> 7AnWsuested:Pinter <br /> swn .M ftls end sam a ID far sa rated 6 commas.For example,1.3,}7 9 p <br /> la Matyslii.. ... ... I• Sam - s ID ti3O ante Anal aIt <br /> ;nalysts j d,Othar Ana • l 3 <br /> - .._.._e far M�flphasiaBarnAalAruldsis Oblecdvel Waste Classificationon Link ksgWmrnatbi <br /> 12.SupplemanW Requests:Evker earn Y'Ds as described In Item 0 13,ECL Lab-Remarks: <br /> Dashed Analysis I Sara s ID c <br /> Irstlals L a <br /> %Chain ofCustody: - <br /> Name j' TiSe Mehcshna Dates of Oisiody <br /> b, Snn <br /> to c <br /> d T' ji of tit ro <br /> L to <br /> to <br /> OYAfA6,00�ev011/2a!t0/7_Appated DYGrs6fYMa?apdnent OMeer Maks Pbotawples krYdx FM . <br />