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44 Fw/ 15105402305 DTSC H6,Z MAT LAE <br />:007 10:11 FAQ 916 255 3897 I.1'5G/.sAL;mAxk1NFU <br />SUPPLEMENTAL D <br />Department of Toxic Substances C01111•oI%� v 5 I lGt�c d �uJDim(A,a, A,o�oUn 1 <br />EnvBonmantalChamistn'Labor°to(Y AuTHo Fow (ARF) <br />o� <br />i <br />0004 <br />Q0o,t <br />Re,t u�®star PLEASE PRINT) TAT Level ; 0 1• ❑ 2 ❑ 3 �4 <br />pART A - (By a aDaIMs �disc.ca-q°v PhOne l Std ) 255-3751 <br />Alex E a1158 Ercall KK <br />Reqututot s Name Fax( 91639fi ! _ <br />01-5ilcament9 Unit ti1N(VtSCD <br />Region Phone ( 918 )3827 <br />Back-up Raquestor Allan to mss. Cl9fl <br />5110 Nams Lade <br />PART �; 1�ftSlyl.lcal RAQtIests (By (ZegU8St0r� (Lab uses aefaulr metnods listt:�d bekr-. Please S,Pecily alt ;tlnPr reg(trst: <br />Nturtbe� SamD+a�YPo :im;M; <br />Solid u Ate Ott O aniC Anal i5 tnortaanlc ,4nalyscs ss <br />2. <br />n,ty 310.1) <br />ismium V C )I)toINatar by IC (1199) <br />)dab for W®stas,L_eachaies (51)1013) <br />news(190'2) <br />09) In (SemgSoltd Waste (7471 <br />y(t-1g) in L(4uid.W3ste (747(.A) <br />Scan (60108, forA+.99,Cu,Pb, em) <br />Ste rn fo DitnL:InC ureter, 802AA) <br />iLead In Waste (ECL938-M) <br />Size (ECL7410.9) <br />)rate fcr Sd1:31udge(ECL955•M) <br />xata for Watev (314-0) <br />otai Dissolved Solids (160-1) <br />TCLP Anal!�D*;Em% <br />GRO (tiawtkte. 801 <br />ORO( pi Mel) on)y ((ECL816-M_) _ <br />Motor Oil onN (Er -L81 5 -I'M <br />, <br />OR O(Dic9s0 & Motor 011 (ECL916-M) <br />I <br />FoylenaGtycol (ECt-772-M) <br />Authorization t4umber (AN; <br />PSOES (EC3-750-M) <br />PCBs 8082) —• <br />P,SUC40S • Chbrinated (W81A)- <br />_-- .i. _. I . <br />Pe9ticides _ Orgartvptwsphate (8141A) <br />.._- <br />1.A0ornte— <br />Sern votatites 9270C) J _ •-� <br />Volatlios (112608) <br />1 . �_.... <br />CarbarM Carnpourxds (831SA) _� <br />• ;-- •• . <br />1 <br />HPLC Exves (8330 <br />Molwo Hill, CA W37 <br />PAHe (6310) _ <br />C)k)Ar>syFurans by tiRGCMRMS (ECL8130-M) <br />_ <br />- I <br />Flash Point (W20A) <br />❑ Check ttos <br />r,he=r,e Extraclobiaa PH (1864) <br />TXO-Totdl )ia)ogens In Oil (ECL792S) <br />_ <br />_ <br />(othare. t In) <br />1 <br />Other Analysis <br />Fish Bloassay (Ttie 22). <br />Expiration Date <br />Congener PCBs (ECL.cc-PC8) <br />Congener PEDES (ECL-CGPBDE) <br />^_• _-�_ . — <br />ysis Objoctt.c: <br />�ctlon Unfit ficqulramant 1 (C k L-gL User's Mairtttat to assure default DL Is sutfldenL) <br />Caw r% <br />it C�tr,•rtrs: -`) <br />0 1' $am I& Awlwad at Lab 01/17/47 (m�ddryy) <br />kxoected atA o P - <br />ARFrS Revision No. <br />P T C : (B)t SMO - ECI•} <br />, <br />Initials: <br />Date: <br />Authorization t4umber (AN; <br />O <br />-- -- -- <br />Lab to FdaLeh% Sam;uets) <br />—_— <br />ARF's Revision No. <br />To_ Tact America Inc <br />es5,larvis Drive <br />Inittats: <br />Dale: <br />Molwo Hill, CA W37 <br />Sample Maniitgan*nt Offit sr (SMO) <br />Atte: There�w Alien (408) 782.3139 <br />❑ Check ttos <br />if cancelled <br />' <br />Initials: <br />Date: <br />(mm/ddtyy) <br />Expiration Date <br />j 6(mnVddryy) <br />Todays Deto 4ys;sq <br />------®' <br />TAT Lovel: `1 = 10.15 duina unit aiefe y9aruce cn SARI <br />2■16- 3n day. 9 • 31 - � d d ye <br />Ne samda(s) Irt to daen vne it TCLP is neenN. <br />4 = wnen possthlu <br />EC1.01 (REY 10106) <br />—rCLP . II umo perm z and ssmde i natsix typo b eppropMW. lab mo xnty2A or sjven <br />1i�� atp'ol,_a. <br />