Laserfiche WebLink
Chain of Custody Record P -3 nr <br /> Facility Name: DVI On-site rime' Tem <br /> UK* Site Name: Bum Pit &site Time: Tanp'. <br /> Sky Conditions: <br /> for California RESD State or Lead Regulatory Agency: RWOCB-Cc IVaiky pegw hleleorologkal Ev,m: <br /> qtir3lL,rn Requested Due Date(mm/dd/yy): Standard TAT Winds 1)4e ioOI vUn <br /> 11-ab Narx Corns and Tompkins.LW Facilq Address: Coosulwt/cuno-ecmr URS <br /> Ad&ess.2323 Fifth Sueet Address: 2870 Gateway Oaks Drive,Suite 300 <br /> Berkley.CA 94710 Site LAVU, . N/A Sacramento CA 95833 <br /> Lab PM t Mike Dahl uist ifomiaGlobal m No.: SL205363007 ultanVConttactor Project No.: . 17326782.07000 <br /> ele/Fax:S I O 486.0900/ rdos Project Na.: N/A C..UftanVContraesor PM: Veow Elarth <br /> RESD Contact: Site Designation: DVI-Bur,PR ele/Fax: 916.679.2000/916.679.2900 <br /> Address: Phase S: llt WWjt wells R nT & Level: L. 12wdh EDP <br /> Sub Phiuctfask Analytical E-maiIEDD To: Marcie Redmond urseo .ccun <br /> ele?ax: fask Code'. 07000 <br /> Invvi¢mURS <br /> Lab Botrk Order Na: Metrix amotaiar.Wpres ative Requested Analysis <br /> 2 <br /> s <br /> Sampk Descriptko F G "ffi story No. d Sample Point UVLo,gmW <br /> Commmu <br /> Q 5 e <br /> a $ 0 0 5 o Q m a g a <br /> E a n. 3 0 <br /> 1 MW-24-BP / x 3 3 x I 3zVoas <br /> (_ 2 mw-24-Bp x 3 3 x z x x z Ix250ml,2x5OOrn1 <br /> w 3 W-24-BP 1-� x I 1 x Ix500m1 <br /> 4 MW-24-BP 3� x I 1 x Ix250m1 ass <br /> 5 MW-25-BP x 3 3 z 3xVoas <br /> 'k 6 MW-25-BP x 3 3 x x z z x 1x250ml,2x500ml <br /> 7 MW-25-BP x I 1 z Ix500ml <br /> 8 MW-25-BP ly�- x I ! x Ix250m1 glass <br /> 9 LLL I <br /> 10 <br /> Samplers Name: Been uuhW By I AlBliatioe Date OI!M!e 8,IARiaad,n mte M.. <br /> Sam knCom : URS <br /> Shi ment Date: <br /> Shipment <br /> Method: <br /> Sh- ment Tracking No: <br /> S ecial l,slrucdo,a: Anions Chloride,sulfide,sulfek and nitrate);Total nerals&Dissolved:arsenic,barium,cadmium,chromium,wpper,ion,lead, <br /> man anese, ium,menu ,mol emum,nicke selenium,silica Dissolved Metals:Filter&Preserve at Lab! <br /> LCustodj Seals N Place Yes No Ternp Blank Yes No Cooler Temperanue on Receipt oF/C Tri Blank Yes No <br /> 0 <br /> —+n <br /> CO <br />