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X <br /> (o <br /> -0 —:< <br /> e <br /> a <br /> CD 4= y <br /> ace° L �rZ�ZC Chain of Custody Form 3 <br /> ANALYTICAL SERVICES 4100 Atlas Ct.-Bakersfield,CA 93308-661. 7.4911-Fax:661.327.1918-www.par-elabs.com y M. <br /> p3 Repod To M D <br /> client: Arcadis U.S. Inc Proect#:30274343.01 Page of �a � <br /> - - <br /> o Attn:Dalia Rumani Project Name:Forward Landfill o Comments: to m <br /> See Arcadis Attachments A and B for VOC and Dissolved Metals Q. m ^r <br /> A " <br /> 0 0 Street Address: 18401 Von Karman Ave,Unit 300 BID# 1026 Groundwater Monitoring Wells C'i -° v E n N <br /> E ai - Dias Metals=Al.Sb,As,Ba,Be,Cd,Cr,Co,Cu,Fe,Mn,Mo.Pb,Hg,Ni,Se,Ag,71,Sn,V. n I� <br /> o Samplers) d 8 N O Zn-Nat Filtered O \e <br /> D s city,State,Zip: Irvine, CA 92612 Printed: (JL{u� " y ii� 8 <br /> N k M N O v t V Also sand results to Zino Kamal(Ina.Kamal@arcadls.com).Elena Strom fD <br /> Phone: 805.234.1390 Fax: ti t- i _ (elena.strem ar�adis.�om,,and Kyle P—,k Id <br /> C v ,�wer� bydro.com) <br /> o a z �, L C A ' Sample Matrix Result Request -Surcharge CCD <br /> email: dalia.rumani@arcadis.eom o Y a o = n . STD -15 Day- -J 4 Day 0 <br /> n y o a �. <br /> W ° p Work Order#: I �� ' z Y 3 e 3 Da I 2 Da 1 Da .' <br /> co a v ° - y Z. ° m s Rush requests must be approved c <br /> N �• . . O 4 o N o - Mo <br /> me <br /> '. a. ' ' > U U F- o H w o i Other <br /> m - Notes <br /> k7 ro A —1 L J ^ W J <br /> D4 � <br /> f3 <br /> W-7 a a LQJ O S o <br /> _ N <br /> a <br /> W A S �'� <br /> o <br /> 5 3- z 5 <br /> A 4 <br /> CID <br /> O <br /> X <br /> Z N <br /> a <br /> � 6 � <br /> 3 <br /> N n rr <br /> 'SHORT HCLEIIN3 TIME" <br /> 8 EL \i <br /> G <br /> v <br /> EDF Required Geotracker Global ID <br /> 0 <br /> ❑Same as above � ❑Yes []No <br /> o � Client: Forward Landfill 1.Relinquish .B oate Time b 1.Received By Date Tim <br /> Address:9999 S. Austin Road --- Z S 2 ti <br /> ° city: Manteca State-CA-zip 95336 System# 2•Relinquished By Date Time' 2.Received By Date. Time <br /> Y (Naededfor CLIP) <br /> ° Cordero-20 -2 5-9622 ` r t) r <br /> Attn: <br /> o � GIS/Key❑Well Slar❑ 3.Relinquished By Date Time 3.Received By Date Time <br /> P.O.#: <br /> 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 /> m <br /> 0 <br /> m <br /> M <br /> 0 <br /> rn <br />