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Nonad maici Z000 8Z11010£ iatwojsuan uoptools 8Z171 I Z/EZ/80 :pavodali Excelchem Laboratories, Inc. Excelchem at 1135W. Sunset Blvd. Suite A <br />Rocklin, CA 95765 <br />Laboratories, Inc V • Ph: 916-543-4445 Fe: 916-543-4449 <br />CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br />Project Manager: <br />Drew Feucht <br />Phone #: <br />(510) 697-7738 <br />_ <br />X — <br />Electronic Data Deliverables Reques <br />. PDF <br />Geotracker <br />Email Address: <br />drew.feuchtAarcadis.com <br />juliet.hutchinsarcadis.com <br />Company/Address: <br />Arcadis U.S. Inc. <br />735 Tank Farm Road, San Luis Obispo, CA 93401 <br />Fan #: X _ Other (dem sCedy) EDD dalia.rumani@arcads.com <br />ANALYSIS REQUEST ' Page 5 of _( <br />Project Number/P.0#: <br />AccountsPayable.Administration©arcaths-us.com <br />Project Name: <br />PN 30101128.0002 PCBs by USEPA Method 8082A Percent Moisture 1Requested TAT: 48 HOURS RUSH Bint <br />Due Date: <br />Project Location: <br />Stockton transformer <br />Sampler ' ature: <br />Work Order: <br />Sample <br />ID <br />Samp in Container Method <br />Preserved Matrix <br />LAB USE <br />ONLY: <br />Date Time [VOA [SLEEVE [GLASS PLASTIC cl <br />5 a Lu NONE 0 5 [Solt_ [WATER Lo a [ASPHALT CONCRETE [VEGETATION OTHER '(A (titi(c11 IV! )c k K <br />.5.a <br />1 <br />195), k X A' <br />S16 7 X <br />-r..C) 4.. /45/- X >" k <br />11- CanAP <br />zl,A, <br />1114+ <br />isof K ?C <br />1' ic 1 I5os X <br />KOC k <br />SI-- cvm P <br />Relinquished by: Date Time Received by: <br />a Ci.10?-- IN,feilioi,s, <br />Remarks: <br />Send <br />Composite <br />. <br />log-ins and results to emails listed above. <br />sample groups and label sample D as indicated prior to testing. <br />-HOUR turnaround time on analytical results. <br />Report results on a dry weight basis. <br />l• HI <br />Relinquished by: Date Time Received by laboratory: 48 <br /> <br /> annewasaide?j fuoteJociei