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X <br /> 0 <br /> 0 <br /> v <br /> z <br /> a <br /> W <br /> y Ce® c y 3 <br /> � <br /> Form 2, Z <br /> a 5 ANALYTICALSERVICEs 4100 Atlas Ct.-Bakersfield,CA 93308-661.327.4911 -Fax:661.327.1918-www.pacelabs.com y M. <br /> N cent: Arcadis U.S. Inc Proect#:30274343 .01 ''• '• 2d04904 _-je of � Sh <br /> °o Attn:Ari Terry Protect Name:Forward Landfill Comments: 0 \ <br /> Q z Also send results to Zina Kamal a m n <br /> 7 <br /> b Street Address: 18401 Von Karman Ave,Unit 300 BID# 1 Q25 Detention Pond , (Zina.Kamal@arcadis.com),Elena Strom 0 " Ill <br /> D T n Sampler(s)Name r 1 r, ,_�e -0 79 Z (elena.strom@arcdis.com),and Kyle Power o \ <br /> city,state,rip: Irvine, CA 92612 Printed: .�x/t <br /> n. o <br /> c y Phone:714 508 3136 Fax: U` Cn (kpower@trihydro.com) <br /> 0 Q > Sample Matrix Result Request -Surcharge M <br /> � 41 Email: arianne.ter @arcadis.com dalia.rumanl arCadl .COm 0 w o JISTDI f 7 5 Day- -]4 Day- <br /> v° T Work Order#: �S -CCI C � p z 3 ; 3 r 3 Day" -12 Day" -7 1 Day" <br /> e g Rush requests must be approved -n <br /> SamN C NCD Date Time -cc <br /> DescriptionX S O ,p O <br /> m aSampled H ie_ H v', 5 3 other Notes <br /> ELL Ep. � <br /> D ti o _ ( Compost Pond 3 2(0 7-K3 X <br /> N <br /> w A Z o <br /> owead W <br /> 0) w \ A <br /> zt w Y �qTION <br /> NCo OUT <br /> A ° <br /> i <br /> 7 <br /> o o <br /> � <br /> 0. <br /> N o � <br /> Ib a <br /> co 2 5 <br /> 00 <br /> m p <br /> a. ° wired Gcotracker Global ID <br /> 6 = ' Same as above EDF Re Yes q 0 ❑No <br /> ur ^ M Client: Forward Landfill Relinquished By Date Time 1. a ane <br /> 3 r <br /> Address:9999 S.Austin Road "-'---"-------' �QO <br /> 2.R is Date Ime 2. ed By Date Time <br /> ° city: Manteca state CA zip 95336 System# j2�/I� <br /> s 1 (Needed for CUP) 1�r <br /> a Osvaldoordero-209-2 5-9622 ,,;Shed to Tlma 3.Received Dale Time <br /> o Attu• GIS/Key El Well Star❑ 4 <br /> y P.O.#: <br /> h <br /> 2 �t Pace Analytical Bakersfield does not accept samples containing radioactive material above background levels. Samples containing radioactive material must be disclosed prior to receipt.Any samples suspected <br /> of containing radioactive material above background levels will not be accepted and will be returned to client. <br /> a. • _ - <br /> 0 <br /> v <br /> CD <br /> m <br /> W <br /> 0 <br /> 8 <br />