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Sfala of Caktdnia <br />Deaanmeni 0i To= SUbSianra& COntfo' <br />ENVIRONMENTAL CHEMISTRY LABORATORY I1, Aulhoriation Number <br />EGL No.: A1,0Z <br />2. Page <br />SAMPLE ANALYSIS REQUEST t0EC0152-S <br />To ,Q4D2$ZZ <br />t of ; <br />3. Rpueator:Po Reube FaMela) a. Noma: Dylan Clark <br />4. project Name (if applicable): <br />b. Address 8800 Cal Centel Onva ;was e.im: <br />Swarrento. CA. 9 rev eee. aria <br />C. Phone (916) 255490a 1 Vaa.Iws j d Fax (916; 2516ME IMs+cede YMi <br />STAT Level: 2 <br />e. Erred 6clerk �dlu.n.gov <br />6. Sampling Information: a. Date/iVne Sampled. 02/1 Dill (m1ddlyy) <br />7. Cod" ualeeaee eroa4 NiuMwsapeacew; <br />b Local": FPA ID No. 11AM-72 PM (aa f AM/Phn <br />a. Una `_L=Ra.gMetlemwlY uwegaons <br />Sae: Oakland Bag <br />b. INDEX 4010 <br />Address635 Aurora Inge wneen <br />lc PCA 36322 <br />Stocklen, CA ler ew. m; <br />d. MPC 404 OLA <br />GPS -at: GPS -Long: <br />e. SITE 91400848 <br />GPS -A9: GPS -Depth: <br />I. County 39—san Joaquin <br />a. Sampler. <br />f. Number of <br />a.ID b. Caaeclots No. c. ECL No. it. Matrix a Comatner$ize <br />containers g. Preservative ) Field Inform tbon <br />I Oak61 r1 ND 2.g 1 C1 Ink 4.02 clear glass W <br />1 Kept on ice. pure ink product <br />2 OakB2AU Mu""asic 32 or dear glass Ief <br />Z-` zo <br />1 Kept on ice. plate developer <br />3 pak63 � u l)' -Z � W >Z as dear Spas pr <br />O <br />1 Kept on ire, used d <br />< O9kB4 A RD Z� ZZ Multiphasic 32 o2 dear glass or <br />1 Kept on ice, water based ink with ou <br />5 <br />6 <br />7 <br />e <br />9 <br />9. Ana xi% uastad: Bn r sample IDs and sem leIC r n eaparvAd by commas. For oz pre. 1 J. SJ, 9 <br />F <br />a. Inorganic Analysis Samplela) ID jb. <br />Organic Analysts Samole(s) ID <br />1: <br />It <br />Over Metas' <br />c. TCLP Analysis <br />id. Other-Ana"is - <br />a. Comments ler Multiphasic SampiesiAm ais Priority: <br />10. Analysis Objective: Waste Classification <br />11. Detection Limit Requilerrtants: (Check ECL Users Manual to assure dehult OL is suf cleft) <br />Need le test for waste classification, <br />12. Supplemental Regwsls: Enter sample IQs as described in Rem 9 e <br />13. ECL Lab Remarks: <br />t <br />Desired Ana sis Sample(s)10 p, r. <br />rpt �1 <br />SNs4.tF�CS qu(]Z4{L -4-7i_ <br />—f}--U_DYZ9 <br />DROU]"" B Maur Oil (ECL816-M) 3 'v ImMls S. <br />2 Zz Sc TO A I L <br />^ <br />File Baas (T61e 22, Fish%61 2.4 <br />--a <br />14. Chain of C <br />O Custody <br />Name Tek SgnNwe Inclusive Datesto <br />Seg DCw4tlaw( SAR <br />to <br />1 a� CC_ <br />w <br />r. <br />to <br />t <br />� <br />i <br />g. <br />la <br />SCW2 IPS -4 07110 Mede PraikobMas lel Year Fee <br />