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51 3 5271 <br /> DEC-12-1997 15:12 FF SAMPLE TRACKING OFFIC TO REG 1 SEB FPB P.01 <br /> SUPPLEMEWAL <br /> UrA <br /> AUTI-10RIZATION MOMST FORM {ARF) <br /> PART A : (BY - PLE PR]Nm <br /> PRIORY lEllEL 2- <br /> �D � Requestors Name Q � f.'rRepion I Un4uau <br /> Phone Number t g)y4Y 3toy5_ F <br /> BACK-nUP� REWPSTOA <br /> STYE <br /> St9 <br /> Ana or 1s <br /> • # Of is <br /> �-a'f3- <br /> Scan ` 8010 <br /> Is 8= <br /> W,E.T <br /> P T.C.L.P <br /> Metals <br /> CI- -- Vobtts� <br /> -P Ssmlvd. <br /> Pa�ticides <br /> mg. <br /> evo <br /> acted Date of les AfftMl at Lab <br /> Analysis Objediva Lvn b Treatment Star <br /> C*C*one C. t7Anlarmrvdfifda d Otllera <br /> Detectlan Limit Rec*.aremertts : <br /> cdts.. <br /> PART 8 -- (BY S T O -AML) <br /> Name: Hazardous Materials Lab <br /> eq*atwnDaly / d ` Address: 700 Heinz St., Ste. 150 <br /> Berkeley, CA 94710 <br /> Lao to Reeehsaskiipisa 1larnr► — .1 ,--.-- <br /> Samp;g Tracwm Oti1Cer(51V) <br /> Toctay'S Data? .. •;. •._ <br /> oa uMM./.+x 3r.AW6 <br /> Soso <br /> TnTnl o at <br />