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RPR. 6.2005 9:17RM - CAL/EPA P.4/5`' <br /> EPR DTSC - HWMP � � <br /> s!t a of Cafddmis Dapartment ofTwdc Suhstanees Control <br /> lfdomia Environmental Fm6ction Hazsn)ous Matarals Laboratodes <br /> HAMDOOS MATERIALS 1.Autharaallon Number HML No. 008 f 2,Page <br /> AMPLE ANALYSIS R�EJQUEST y To AO of O, of <br /> 3111_1UESTOR:• O Va�,e &Phone (y(p),Stp '�1(3S7S 7. TATLeveL• (d'ieakons) . <br /> �JRM (Too Redetre Rasukv)O7-se SAX XO <br /> 700 Allggj� ❑ ❑ U <br /> 6�r FES /,lf 957/0 •1 z. a a <br /> UNt CbM1Y lana <br /> 5. TE SAMPLED: S.Codes Ml m all■ppikable codes) <br /> 1ACTIVITY:ErBOD 0 SRPD ❑GIB [a SMB ❑FPS M SPFT iM OthI a.Dmce D <br /> 11 SAMPLING LOCATION b.INDEX O 9 <br /> a EPA ID Noi c.PCA. mss, 6 2 <br /> . Sue e �•Q�sft s d.MPC <br /> a Addiess e /yPr 74A. , .7 Li ro.moo •S �'�, TJop a.STE <br /> Number Sheat• 'Cfty , '�p.$•.'�a/f.county .� <br /> 12 SAMPLER §ampjgll Container . <br /> .A J2 b.collector's No. HML No, d:T e e.T f. i Id Infomiatlon <br /> b AO MDRIII <br /> . ,>G c 101-0 60 aOl <br /> c ;I <br /> . ) 19.ANALYSIS REQ11fill fX desired ana is and enter f.'OsYmm 12a. - <br /> VNORGANIO'ANALYSIS Sam s) ID �`� ORGA is A-NALYSIS m les ID <br /> qH v A IA I CL-6adddes 180811 <br /> _ etaiS Sten (6010 OR Ipestlddefi,.81 1 <br /> Mefdl(s)S edfic T-614 80B-21 <br /> WEtf r ' r G Fd0 801§6 <br /> ides D R D/Moter 08/Both cRde rne) <br /> ` h n-HeS e,lixtmclablea 1664 <br /> Mnam.wlRe M F�l�eaPo' 020 ' <br /> LPAoalysla '� V06Includin STEX 8260 <br /> . on' uneeessa do'rctvmrraiass -LO Level 5035 <br /> metalsVpt .HI Level 085 <br /> 'Memu - x 8270 . <br /> aleDles PAHIs 70 <br /> orneff,Mree m . <br /> I •,'�srRa m <br /> 1A. Y,StS OBJECTIVE: Waste Charaeterizatlan, ,i Tielmapt Standards <br /> Skabox) Idna.H=U StarxiaMa (apyNab DWdMy9 Otbars. (wnBCLab arPerWaraa taSO <br /> 15. ETFC'nON LIMIT REQURtEMENTS: .• <br /> RM/olvn ana COafM/aa i <br /> i <br /> 15-SjIPPLEMENTAL I Iniflals <br /> !REQUESTS I <br /> 17.L1>,B RHdARKDate <br /> S: � <br /> ft CViAIN OF CUST DY: - y <br /> a <br /> 11 24or to t Ia <br /> I I to _J I <br /> d. _ 47 I E <br /> L` s "t' sl Name s /7V, a �I � • <br /> DTSC f f1eH(REV&DO) Make Photocoplea forya,R(a NLY <br />