Laserfiche WebLink
9&te of California - - - - <br /> 'EnvlronmeMel P obection Agency Depatpinent of TrWa substances Comrol <br /> _ E fm.mental Chemistry Laboratory <br /> AUTHORIZATION REQUEST FORM (ARF) _ <br /> Part A: Requestor's Information <br /> Requestor's Name: Anne Ekker EmailarTr-fe1kker dtsc.ca.goy Phone:s714484530 SUPPLEMENTAL <br /> ."Check d Supplemental Requested)ack up Requestor. DylarrClark' - EmalLb dYl ff Clark r dtsc ca qoy —""phone:-9182 4930 ---- --- <br /> Site Name: Thatcher_Company of California.Stockton <br /> Expected Sample Arrival Date. 11/29/2018 _ <br /> Tumaround Timb(TAT)•: *Rush ❑ 'Level 1 ❑. 2 'un/t chief's a <br /> © 3 <br /> ❑ pproval required(forRush or TAT L6val= 1): <br /> Project ID: *Unit <br /> Activity lD: 36195 MPC-. 962 <br /> Part B: Project Objective(s) or QAPP(Questions?ECL Point of Contact ECL Sample Management Officer at SMOFF@dsc.ca.gov,.(510)540-3111) - <br /> bjects. <br /> Oive: waste classification - - <br /> Object -- <br /> Special v✓e are Inspecting a chemical manufacturer and distribution facility;they are known to manufacture bleach products and other industial cleaning products. From otheragency <br /> Informtlom inspection reports,we are predicting collecting samples of various solids,sludges,and liquids. <br /> Part C:Analysis Information <br /> Analysis Name Test Code Matrix Numtiarof Comments - <br /> samples <br /> Fish Bipassay - CDFW P&M 1988 Aqueous sludge 5 By contract lab <br /> L '}a <br /> Part D:(By SMO-ECL) - <br /> Autharvation Number(AN) 189&0051 - <br /> Lab to Recelve Sample(s) Enthalpy Analytfcal Laboratory <br /> 931 W. Barkley Ave., Orange,CA 92868 _ <br /> Attn:Diane Galvin (714)771-6900 <br /> Sample Management Officer(SNTO)-Ft=.anclsco Montalvan <br /> ARF Approval Date 1 (mm/dd/yyj 1/26/2018 Expiration Date ,1,2/1012018 (mmldd/yy) <br /> ARF Revision Date (mm/dd/yy) ARF Revised by <br /> Turnaround Time(TAT): .Rush for public health and safety or emergeneg *Level 1= 16 days, 2=30days, 3-46days. <br /> NA—Not Applicable <br /> Page 1 of 1 07.0146.00_rev 1_9110/2018_Approved by Quality Management Officer <br />