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0 <br /> e <br /> a c3, <br /> x ce 0 A <br /> o N � l �� � iy Form ° 3 �, <br /> a ANALYTICAL SERVICES 4100 Atlas Cf.—Bakersfield,CA 93308—661.327.4911 —Fax:661.327.1918—www.pacelabs.com r <br /> S. <br /> dent:TO 0 <br /> Arcadis U.S. Inc Proiect#:30274343.01 2602027 age of . w <br /> Z <br /> o Attn:Dalia Rumani project Name:Forward Landfill o Y _ 17 <br /> Comments: \ <br /> F- m E e Also send results to Zina Kamal(Zina.Kamal@arcadis.coi <br /> a Street Address: 18401 Von Karman Ave,Unit 300 BID# 1 Q26 xtraction Wells Z. <br /> N <br /> 0 0 Z o) C Elena Strom(elena.strom@arcdis.com),and Kyle Power n <br /> o ° Samplers)Na A g o � O � <br /> y o city,State,zip: Irvine, CA 92612 Printed: z g (kpower@lrihydro.com) O e <br /> W e Phone:805.234.1390 Fax: _ a; y t <br /> 0 0 ° ti m Sample Matrix Result Request —Surcharge CD <br /> Email: dalia.rumani@arcadis.com o 0 <br /> to co o rJ STD 5 Day" ]4 Day" rp <br /> / m p0 nays) <br /> ap M Work Order#: -l,-�,-�-(? l �' m m °,� 3 m 7 3 Day" �2 Day— —1 1 Day— <br /> CD r o a H v ° N m =_ Rush requests must be approved TI <br /> E N Description Sampled SampledL (0 N O N — c O <br /> �' a U U o > n in o 3 other Notes <br /> o <br /> D4 <br /> N <br /> -Z 6 �, <br /> a O r �� <br /> w w I CDW m ° <br /> � s <br /> w G x ��- <br /> -b G` 6 <br /> o � I o <br /> X a N <br /> _ a <br /> � 6 � <br /> CHK BY DISTRIBUTION <br /> W p <br /> N \ <br /> V o x <br /> SUB OUT <br /> v <br /> ^ o <br /> m ' ❑ Same as above EDF a fired Geotracker Yes ❑No Global ID <br /> v o <br /> Q? <br /> cuent: Forward Landfill <br /> o d a„ 1.R s By D to Time 1.Received By Date Time <br /> Address:9999 S. Austin Road ----------------- )_/qI J6. <br /> o city: Manteca State CA zip 95336 System# 2. elinquished ByP-1 L Da Time 2.Received By for L Data rune <br /> (Needed for CLIP) �f'�f ' Chl'IS ��(' eyda ee Pace zl9/�6 P106 <br /> 4 Attn: Osvaldo Cordero-209-235-9622 GISfKey❑Well Star❑ 3.Relinquished By Date Time 3.Received By Date Time <br /> 2 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 /> o' <br /> 17 <br /> 91 <br /> CD <br /> (D <br /> W <br /> O_ <br /> W <br /> O <br />