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X <br /> 0 <br /> e <br /> a c3, <br /> -0 —:< <br /> = y <br /> Cn <br /> N ace � � a0 C y Form 3 �, <br /> ANAIYTICAI SERVICES 4100 Atlas Ct.-Bakersfield,CA 93308-661.327.4911-Fax:661.327.1918-www.pacelabs.com 1 y z y <br /> a 5 if D <br /> 3 R"W ro M <br /> Client: Arcadis U.S. Inc project#:30274343.01 2601991 _,a—L of �a <br /> ° Attn:Dalia Rumani Project Name:Forward Landfill o Y Comments: Z <br /> �o <br /> I- m 2 Also send results to Zina Kamal(Zina.Kamal@arcadis.com),Elena Q m C <br /> 0 o c Street Address: 18401 Von Karman Ave,Unit 300 BID# 1 Q26 Surface Water Z n Strom(elena.strom@arcdis-com),and Kyle Power n <br /> Sampler(s)Name � 2 w $ o O <br /> 7(kpower@trihydro.com) O e <br /> D s City,State,Zip: Irvine, CA 92612 Printed: Z � = t rn <br /> v r <br /> C Phone: 805.234.1390 Fax: w <br /> o a m m � Sample Matrix Result Request —Surcharge CD <br /> Email: dalia.rumaninarcadis.com = -2 w o 0 <br /> dalia.rumani@arcadis.com rp CL ; r Jf o I l 5 Day j 4 Day N <br /> 0 U 04 y <br /> 0 ° Work Order#: a�'O I c�C� I a do S n <br /> s o m N rn 0 3 ; 3 f 3 Day" -)2 Day" 1 Day" <br /> m rt o a H c> = m =_ E „ Rush requests must be approved c <br /> N N • L `m O o a o Zi <br /> gyp' ' '' �Ur U 0 > H I- tR m o t7 aher Notes <br /> O <br /> A3Z1 I1 t,, <br /> C, _ <br /> w G x cU Z tz1L <br /> sv <br /> o <br /> D <br /> x RIBUTION <br /> 'SHORT i O D NO TIME N <br /> � A <br /> � xI 1 C +6 NO, 0 S <br /> Win <br /> -4 o x <br /> cc <br /> 8 EL <br /> ID � <br /> O <br /> � n <br /> rD e . ® EDF R uired Geotracker Global ID Same as above ❑X Yes ❑No <br /> orient: ForwardLandfill 1.R e t Time .Racal By Date Time <br /> = � <br /> Address:9999 S. Austin Road ----------------- <br /> o 2.R ed Date Time 2.Received Date TIme <br /> city: Manteca State--CA-Zip 95336 system# <br /> �. (Needed for CLIP) <br /> ° <br /> Attn: I ordero-209-235-9622 <br /> 3. elln ufshed B Date Tlme 3.Received Date T1rrre <br /> o � GISIKey�Well Star❑ 4 y � <br /> P.O.M <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 bereturned to client. <br /> v <br /> m <br /> 0 <br /> m <br /> w <br /> 0 <br /> w <br />