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State of California Department of Tokio Substanoes Control <br /> ENVIRONMENTAL CHEMISTRY LASOPATORY 11.Authorization Number ECL No.&668112, 2. Page <br /> SAMPLE ANALYSIS REQUEST iBECGg61- Tot, 00y 1 of 1 <br /> 3.Requestorla Receive Results) a,Name: Anne Ekker. - - &Project Name(it applicable): <br /> ve. <br /> b.Address; 6706CorporateA <br /> Cypress CA 00030 fdtp,ewla,rip) '.,. <br /> o.Phone: (714)46"300(,M wd*wl d.Pais: (7i4)d34-6496 Ixaerww kati 6.TAT Level: 2 . <br /> e.Emall: anne,emer adtacca.gov <br /> 6.$amplinglnformationl a.DateMmeSampled:'11128118 (mmldd" 7.Codes <br /> b.Location:EPA ID Nc. CAL000433517 _..._ - (#:N#AWM)a.Unit rxns oma+✓c+cr�.i�n+wgw+tcw�w) <br /> Site: ThalO ier Co of Callfomis�Stookton ,._ - b.Project 10 aT6C ANPAFAN6AtiYtc9f`1't"14�N. <br /> Address: 1010 Industrial Drive is l c.Activity ID 80106 f4"elle - <br /> Stodclon,CA 96206 _ ...__tdrj,swrq apt d.MPC 902 <br /> GPS-1,01:1 -.. GPS-Long: a.County 30-SanJoaquin <br /> GPS�Alt: GPS-Depth:—.'-- <br /> B.Samplase I.Number of <br /> a,ID b.Collector's No. o.ECL No. d..Matrix e.Container Size containers g,Preservative I Field Information - <br /> -- ' $' � _ soao bast wash ka horn pkme <br /> 1 'TCS-06 oz dea r 1 ka <br /> 2lTCS-08 $tGe � Wastewater /hydrofestwashwater ... _ <br /> 3. T--gs-a7 oed'84 wat�..4—,Isoz 1 �.Ioeuaomara+ewauawmou-W" <br /> 4 TO$-Qe L0 1" w�.a«.tiro+�»il6ozcleargtAsa er „-, i 1lita,tsadinmhypcehlodtenastair«nls+�k <br /> T <br /> 9 <br /> 0,Anafysis Requested:Enter sample IDs and sam 1a lD rattges$spatatod by comma%,For example,1-3,1.7.8 r <br /> a.Inorganic Analysissampl s 10 1b.Organic,Analysis - Sample(s)10 t <br /> pH for U uld(80408 or 00400 - 1-d L <br /> WET taeLnls do WET a Bless 2.., u <br /> Wlert+telais:. <br /> c.TCLPAnalysis d.other Analysis <br /> 0,Vormnadisfor Mulophssic leslAnalysisPrlotity: <br /> 10.Analysis Obledive: Waste ClassifkaUcn <br /> 11,Detection Limit Requirements: <br /> 12.Supplemaotal Regtreatst Enter sample We as desctlbed in Item 0 13,EGL Lab Remarks: L <br /> LLL <br /> Desired Analysis ;Sam s ID C s. <br /> ' Initials t, a <br /> .Date <br /> 14.Chain of Custody: <br /> Name - t rTitle Signature Ntclu,-46a Dates of Custody <br /> (0 <br /> to t(,IMJUt c <br /> a f O Mmfe,uw erre yr�1j KJ�tcgtted 1 Lt L*P to c <br /> to <br /> dTA14d00_revp 1?/2Av2tltT_Appavedby gvaUfySfartagemarit0 8 'IU O plotoco0"wYwun9 <br />