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Stale of Catlfomta Depariment of Toxic Substances Control <br /> F11,0NN <br /> o e _ 5v1 al <br /> TAL CHEMISTRY LABORATORY 1.Authorization Number ECL No.; <br /> LYSISkEgUEST18EC0651 To(rn Race(ve Ra.Name: AnneEkker _ .,,_ —A.Protect Name(tf appliaahte): <br /> 796 Cor rate Ave. -' -- <br /> .___._._�_ .. ,.....--.—,,ypYess,CA 90634 {qty,Nate,q0)1414845309 (ares Code Pru) d.Fax: �(714jy4845496(eras coda Pat) VAT Level: <br /> e.Email: anne.ekker .._._. . __...,. <br /> �^�dtsc.ca,gov <br /> 6,Sampling Information: a.DatelTmeSampled: 11128(18 (mm/dd/yy) 7.Codes(seed rrom drop downlist mANinN0011cBla) - <br /> b.Location;EPA 10 No. CAL000433517 (#,Nt AhWPM) a.Unit r�wEle.aaa.erCr�aAnu mva5 <br /> on _ 0.9eaxafCYAref^sl <br /> Site: Thatcher CcOICalifornta Stockton b.Project 10 8T66 MIIIWAVv$(gV-j%j;,'i <br /> Address:. 10101ndustrtai Anve ` 1 '- ` <br /> ... _. . . . _. .^ (sUeat numnw) a Activity ID 86196 FM <br /> Stoll ton,CA 9520618 <br /> ____..... .. .. .... .. . ..1qN,sUte,z7al d.MRC 962_ _ <br /> GPS-Let: ._� -GPS-Long: e.County 85'-San,IaagUin <br /> GPS-Alt .__. GPS-Depth: <br /> 8,samples; - I.Number oP <br /> a.tD b.Collector's No, qc.ECL No. d.Matrix a.Container Size containers ,Preservative/Pleld Information. <br /> _ ,r ticwue HOZ clear is 'ar 1 .. ice f radium hypxhbrtte leaking Frame <br /> 2�TC5-06 ..._ t;Cre Wastevratar �c�e�au�la'sj 1 Iaa/hydralestwashwatsr _ <br /> 9 TCS-07 as t.gw,navr,.,,„ 16 ozclea s ar 1 ids iceustiaMae <br /> rtainaastarewNtou.gas rc <br /> S-08 <br /> 4 TC --.._... <br /> I �Cat.SE�.�" ta.u,rr=ec�,�l6ozclearglass�ar .__. 1 'tee/Sodium <br /> hypocNalq wastehomwnk <br /> 9.Anatysls Requested;Enter sample los and sample ID ranges separated b. ce,mm ,Fpr example,1-3,6.7,8 <br /> a.Inorganic Analysts Sample(s)ID Pr.Cir vanic Analysis t° <br /> pHforLiquid(90408or90400 � •1.4 -SamPl s ID � <br /> WET Metals(do WET reardlesa)_ 2 �` -- ---- <br /> 067e(Metals: <br /> 4,TCLPAnalysis d.Ut —Ana) is <br /> a.Comments far Multi has)c SampleslAnalysts Priority: <br /> 10.Analysts Objectival Waste Ctasslfication <br /> 11,Detection Limit Requirements; <br /> 12.Strpptemental Re ues—Ent......le IDs as dasorlbed in Item 9 11 ECL Lab Remarks: <br /> Desired Analysts I Sam le($)ID E r. <br /> Initials I, <br /> Date s <br /> 14.Chain of Custody: <br /> Name r-'77Ke - - Stgnature Inclusive pates of Custody <br /> b, VtVt �[ Fvj ,_, �,SY. 4YSXh31 . �1 it j <br /> to ll �llj <br /> _ 11ttY44Ik4 � _ ___ . . <br /> _ tllha to tt <br /> t4+ c . t. . tSxlrzrFk' �ata�grv� ^.T'. c <br /> e. <br /> to e <br /> _. ... _.____.__. ..--_. . _. .._ . to <br /> 07.0146.06 . 0 i1si 017 <br />