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EAS S Request Form. <br /> CI RUSH <br /> WAAS= <br /> S S 9401289 S - <br /> HWM Requisition# Acct. J&Za _D=S Building - <br /> Roorn# R ?Yes13 No CI DateIs <br /> #Botties S Tech. <br /> Send results to.* Al Art L-Code <br /> Comm=M o - 25 - D I - -1e- CE <br /> MI cs ' e C <br /> SAMPIX ;M (Rtcom voium of liquid u w NOT <br /> E3 Retemion Tank li Tuff tank—utcrs V PLM 3 ) <br /> Carboy,13 Q 55 jZ Pt&tom <br /> Process/Sou=generating the Ie <br /> A (UNR a ZZ app i <br /> ® Aqueous CI Coolant- (specify below) ® Soil <br /> CI Base- (specify below) Q Solvents- (specify below) CI Sludge,solid AEM <br /> (specify below) CI Oil- (specify below) Q Photochetnicals <br /> - (specify below) CI Silicon CI UNKNOWN WON <br /> hism <br /> C3 2 liquid p 96(by vol ) Top! o (circle one) <br /> Co n(List all other co one as r,alcohol) Aim <br /> MIEME <br /> AED-(Discuss wit mrwo A yst assigiiea to M area) <br /> GeneralAna_Ivices s Mms Anal <br /> 13 pH/Normaiity r_GammaSpec=scopy <br /> ha and Beta* G and Cl Volatiles <br /> E3 Anions Vo C3 Semi-Vo <br /> C3 ppm oil CI Non-halogc VolsC3 %oil only asicing for aipiwbeta or Q PCBs a Vo <br /> CI Cyanide 3N,fill out a Limited CI TPHs 0 Semi-VoWdles <br /> C3 Flashpoint Radioisotope Cen#ication form <br /> ® TTLC Metals CI TTLC As CI TTLC Se a TTLC Hg <br /> C3 STLC Metals CI STLC As 13 STLC Se CI STLC Hg <br /> �a T�+C/�L2 Metals CI TnCLP A/s�,� Cr.Cu.Mn.'tom ® TCL2 S�eq �p� CIT Hg <br /> L ILLI C = Ag,Bas Be.Cd.Co.CrCMnM0,NLPb,Sb.TL V.L+8 <br /> TCLP M -Ag.Ba.Cd°Cr.Pb <br /> Other Analyses <br /> I cen#y that the above info anon is correa andmplete to the best of my knowledge <br /> Gen Si `-'� L- Date <br /> Genera=N (prin ) t/ Ext3 ®/L (pager) <br /> FAS Approval 1 Date � <br /> EAS Approval 2 (for RTs) Dau <br /> Rev 11. 7/71191"me FZAP renificarinn Nn 1554 EAS(SIO)424-4127 <br />