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EAS e- Requeft For <br /> I�IIIIillll�l�l�l� A Rus <br /> I �lall 8a <br /> WAA Start Date <br /> EAS S le# 9 4®12 D S <br /> HWM Requisition Acct. Date S - is <br /> Building 7 Room ?Yes[3 No D D lete <br /> Bottles Submitted. Field Tech <br /> Send results to• L- <br /> Comments: _ 7-'T:.=- <br /> J1 PO <br /> SAMPU PRO (Record volume of liquid waste in iank when sampirA NOT maximm capacity of <br /> D Retention T li T D T li Q gal.=3 ) <br /> ® , D 55 er otL aL.I " <br /> o g e le <br /> SAMPLE DESCRIPTION(Check all that app ) <br /> D Aqueous D Coolant- (specify below) D Soil <br /> D Base- (specify below) D Solvents- (specify below) D Sludge,solid <br /> D Acid- (specify below) D Oil- (specify below) D Ph -J° <br /> - (specify below) D Silicon D UNKNOWNr <br /> M <br /> id p %(by volume) Top/Bottom(circle one) u <br /> Co sition(List all other components as hetane,laquer thlnner,alcohol) aA <br /> As P& -r- <br /> A <br /> with <br /> nviro Analyst assigned to the area) <br /> General Analy$('S34AMIm MADBIXIM CC- <br /> 0 pH/Normaiity ross Alpha Beta* D D Volatiles <br /> ® Anions ritium* Volatiles, D Semi-Voladles <br /> ® ppm oil Spectroscopy D Non-halogenatedVols TCLP <br /> D %oil 'If only aslang for alphalbeta or D PCBS D Volatiles <br /> D Cyanide 3N,fill out a Limited D TPHS D Semi-Volatiles <br /> D Flashpoint Radioisotope CerWxadon form <br /> Metals Anal sees, <br /> D TTLC Metals D TTLC As D TTLC Se D TTLC Hg <br /> D STLC Metals D STLC As D STLC Se D STLC Hg <br /> TMC/MC <br /> 13 TCLP/1'Umis D TCLP As <br /> �a� Mn.'`,,. 13 T S�}e, �p� D TCLP Hg <br /> L aLO.d.8 C =Ag,Ba.Be.Cd.Co.We Cu,MnMo.Ni,Pb.Sb. -1.V,Za <br /> TCLP Mask-Ag,Ba.Cd.Cr.Pb <br /> Other Analyses <br /> I certify that the above i mradon is Erect complete to the best of my knowle4ge <br /> Genera=Si L- ��Date <br /> Generator N (print) T Ext-AY4/Z(pager) �Z-6 <br /> EAS Approval 1 r `Date <br /> EAS Approval 2 (for RTs) Date <br /> Rev 11,7/21)93 pme ELAP Cmtfxation No. 1554 EAS(510)424-4127 <br />