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Stale of caliromia <br /> EnNmmnental Protection Agency Departnent afToxlcSebstancas control <br /> E*mn1erTW ChOriZy Labmmry <br /> AUTHORIZATION�xEr�u>=s-r FORM(ARF) <br /> Part A:ROquestOes irfotmation <br /> Requestor's Name: Anne EkkerEmaw anrle..ekker dtsaca. av Phone: SUPPLEMENTAL <br /> Back-up Requester. Dylan Gtark --� -- '--- 7144 X309_ 0 <br /> --- Email: tiVlan.etazk� lacftsc_Ga Prwne 8i6255373i (chedcttSupplmanWRgacess= <br /> Site Name. --ThatcherComparly_of California,Stockton - - <br /> Expected Sample Ardvai irate: - <br /> 11l29120i8 <br /> Tgmarourid Time(TAT): "Rush -- - "--- -.. <br /> © Levei1 Q 2 � 3 © "11aftchlerswrovatrequimd� orFlash TATL,,.W i <br /> Project ib: }: - <br /> �hwaapftr-Ift 1 ty1D: 36135 MPC: 962 -- - --- <br /> i wt fs141 <br /> PartB-' Project Objectives}or&PP(questions?ECL P61nt of Contact ECL Sample Man e <br /> ag Ment f3{ficer at SMOFF@dtscca.gov,(510)54Q-3114} <br /> Project waste classification <br /> Objective: <br /> Special We are inspecEinga chemkatmanuracteaer and dismUudon tach the aTe -- _._...--_ --._... ---_.__—�- <br /> biformUoa. )nspecticm ra s y known ao manufacture bleach products and other industrlai cleaning products. From o[her agency <br /> ports,we are prediuing crotlectbig 7amples of various solids,slWgee,anHquidc <br /> Part C.,Analysis information - __— - --_-- <br /> 7 <br /> Analysis Name 'feat Coda Matd7c Number of <br /> 1 comments <br /> "-PN - Samples <br /> EPA 904nC19045D curmsWeliqutd _ 4...�� <br /> 7 WETMetets Scan(ie MetaisnoM <br /> —_._..,ercury) ECLC15.Oo2500 EPA 6010C !Nesta Water f bottr artless <br /> - - e9 <br /> �_..- .. --.....�_�. -H..-.._....ems.-.._. ___ <br /> Part D:(ay sem-ECL) <br /> Auflrorizatfon Number(AN) 18EC0051 <br /> Lab to Receive sample{s) Environmental Chemistry Lab-Berkeley <br /> 700 Heinz Ave,Suite 150,Berkeley,CA 94710 <br /> —.__ _ ._-. _ _.—_ . —._.__ .__.__— <br /> Attu^Xavier Montalvan(510)540-3i'f 7 <br /> _ Sample ManagementOffteer(SMO) Francisco Mon•talvsn <br /> ARF Approval t7afa. 41(3D}2Qi#t._,__ _.._. {mttVdd/yy} Exptratlen Daft 12f712018 (mmlddlyy) <br /> ARF Revision Date _ (mmfddtyy}. ARF Revised by <br /> Tumamund Tlma(TA'r): `Ruahforpubachaaith andsaraty oremmgencg •Levelt=sedaya, 2=aaday% II=456ays, <br /> NA—Not applicable <br /> Page 4 of 1 aT.Utae.apJ'evt 9Aor2pi8 approved by t]traFRy AianagemantOffi,:er <br />