Laserfiche WebLink
110/lad maia Z000 HUME 8Z:41 1Z/a/80 I 0 anwlueseide fuoleioqei Excelchem Laboratories, Inc. Excelchem Ali <br />1135W. Sunset Blvd. Suite A <br />Roods, CA 95765 <br />Laboratories, Inc V f Ph: 916-543-4445 Fx: 916-543-4449 <br />CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br />Project Manager: <br />Drew Feucht ., <br />Phone it: <br />(510) 697-7738 <br />_ <br />— X <br />Electronic <br />.PDF <br />Geotracker <br />Data Deliverables Reques Email Address: <br />drew.feuchtalarcadis.com <br />juliethutchinsAarcadis.com <br />Company/Address: <br />Arcadis U.S. Inc. <br />735 Tank Farm Road, San Luis Obispo, CA 93401 <br />Fax #: X _ Other ,E*ase spa* EDD da lia.rumaniAarcadis.com <br />ANALYSIS REQUEST Page of C <br />Project Number/P.0#: <br />AccountsPavable.Administrationaarcadis-us.com <br />Project Name: <br />PN 30101128.0002 1PCBs by USEPA Method 8082A lPercent Moisture 'Requested TAT: 48 HOURS RUSH Bintt: <br />Due Date: <br />Project Location: <br />Stockton transformer <br />Samp ignature: <br />• <br />Work Order: <br />Sample <br />ID <br />Samping Container Matrix Method Preserved <br />LAB USE <br />ONLY: <br />Date Time <br />, <br />8 > <br />51 <br />`.`.1 w <br />(0 <br />(i) <br />5 0 PLASTIC 6 <br />a < w 2 NONE .1 o (0 1WATER WIPE 1ASPHALT IONCRETE VEGETATION !OTHER Gliq 5/10/ (331 ..>( X <br />6aL3 1344 X pA' <br />1349 X k" )s- <br />610 1I 135g X X x <br />drag1 44 Orfr <br />&I- <br />I WO X X X- <br />1-1.W5 t414 )c X k <br />RI C., -1 I I44‘ X" X' )r- <br />I-1.10 4, co14 ,It' )'' <br />IAA-02W ke\-- X <br />Relinquished by: Date Time Received by: <br />thP" <br />1. <br />iji <br /> Send log-ins and results to emails listed above. <br />Rema ks. <br />Composite sample groups and label sample D as indicated prior to testing. <br />48-HOUR turnaround time on analytical results. <br />Report results on a dry weight basis. <br />0 tx,c <br />Relinquished by: Date Time Received by laboratory: <br />s