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Tan IS 2007 2:31FM IL -SAMPLE -TRACKING OFFIC <br />� Y1 <br />01%16/2007 10:11 FAA 918 255 3897 _ DTSC/SACR_L11 UTO <br />nepartment of Toxic Substar,cas Centro! <br />dronmantal Chemistry Laboratory <br />AUTHORIZATION REQUEST FORM (ARF) <br />510) 849-5271 <br />SUPPLEMENTAL ❑ <br />LC;,ea d �Jupplet c.mal <br />(1001 <br />T A: (By Requestor - PLEASE PRINT) TAT Level : 21- ❑ 2 ❑ 3 ❑ 4 <br />Requestor'S Nama Alex Baillle Email abaiille gdtsc.ca.9ov Phone( 916 ) 2553751 <br />Ragicn 01 -Sacramento Unit HWM -SCD Fax( 916 ) 3595 <br />BaLA-up Raquasicr Allan 1ta Phone ( Siff ) 3827 <br />AREA CCOe <br />She Name Lodi Chrome, <br />PART B: Analytical Requests (By RequestOr) (Lab uses default methods listed below. Please Specdy all r:tnr.r n0QuE5t5 I <br />Inorganic Analysis <br />Number of Samples/Type <br />Sctidll-lqu" Wale Other <br />916 Or/ Solids (ECL730-S) <br />Solid Liquid Watsri Other <br />Acidity (305-1) <br />Alkalinity (310-1) <br />nloru by IC (9058) <br />Chromium VI(Cr°') by Colorimetric (7196A) <br />Chrornium VI(Cr*') in Water by IC (7199) <br />Cyanides for Wasles,Leachales (go 108) <br />5 3 <br />Hardness (130-2) <br />--..i. _ <br />Mercuty(Hg)in (Sami),Soltd Waste (7471A) <br />Mercury(Hg) in Liquid Waste (7470A) <br />Metals Scan (60108, for As.8a,Cu,Pb, etc) <br />6 8 <br />Melsis Scan (for`Drinking water, 8020A) <br />CJMS <br />OrganoLead In Waste (ECL9313-M) <br />— - -- <br />Particle Size (F -CI -740S) <br />Volaties (82605) <br />Morale for Soll.Sludge (ECL955-M) <br />to for Water (314-0) <br />Carborryl Compounds <br />pi',TK4M.90450) <br />6 6 <br />Total Dissolved Sotlds (160-1) <br />Explosives (8330) - <br />tT(ECLQ10-S) EOaryi(nccea.rf E3 <br />6 <br />(others, type Int <br />TCLP Analysis" <br />Flash Polni (102,0A) <br />Metals El Oary ir+ac.ss•.y 0 D.kM"u t m <br />6 6 <br />_ <br />Mercury Daly ire. c.aa.y ❑ Dci.,5,10.Q <br />TXO-Total Halogens in Oil (ECL792S) <br />VcwIles, ah if neccse+ry13 Duiarc%+rd <br />SdnlWolat[r7as oalri[wea.aary DaflrrgaAca <br />(6thZf9, type i1) <br />Other Analysis <br />Fish Bloassay (True 22) _ <br />Congener PC8s (ECL-CG-PC3) <br />Congener PBDEs (ECL-CG-PBDE) _ <br />(others,type In ) _ <br />Is Objective: Waste Charactenzation <br />on Llrnit Raqulrements: (Check ECL Users Manual to assure detault OL is sufficient.) <br />Other Comments: <br />Expected Date of Sample Arriwal at Lab 01/17107 (mmlddlyy) <br />PART Ci : (By SMO - ECL) 0 ARF's Revision No. <br />Initials: (Date: <br />Authorizallon Plumber (AN) � - ' <br />Lao to Receive Sampla(s) �4P �r <br />'�'�`� ARFa Revision No. <br />Initials: Dace: <br />Sample Management Officer (SMO) <br />��/' ❑ Check hex if cancelled <br />Initials: Date: <br />mm/dd/ Expiration Date (mrnlddjyy) <br />dais Date � I � ( �') E"P" 1 IyT �7 <br />7-11 1 <br />ei: '1 = 10`15a(requires unit dlief's signature cn SARi 2 = 10 - YC says 3 = 31 - 45 days 4 = wcen passu le <br />"TCLP. u time perm,m and ssrnple mala. type la eppropriale, lab may analyze or screen the sampte(s) Asst is determine it TCLP is needed- ECL01 (REV 10M) <br />F.I <br />Number of SamoiesrType <br />Organic Anal sis <br />Solid Liquid Watsri Other <br />GRO (Gasoline, 8015B) <br />ORO(Diesel) only (ECL816-M) _ <br />Motor Oil only (ECL81840) <br />DRC(Diesel)a MowOil <br />EthyleneGiyccl (ECL772-M) -_ <br />PBDEs (ECL750-141) , <br />PC8s (0082) —• _—_ <br />--..i. _ <br />Pestic)des - Chlorinated (8C81A) <br />Pesticides - Or arwphoophate (8141 A) <br />f <br />1,4 -Dioxane (ECLB30-S) <br />CJMS <br />Semivolahles (8270C) <br />— - -- <br />Volaties (82605) <br />Carborryl Compounds <br />HPLC <br />Explosives (8330) - <br />PAHs (8310) <br />Diaxlns/Furans by HRGC/HRMS (ECLBW,.M) <br />Flash Polni (102,0A) <br />n -Hexane Exlraetab(esJTPH (1564) <br />TXO-Total Halogens in Oil (ECL792S) <br />Other Analysis <br />Fish Bloassay (True 22) _ <br />Congener PC8s (ECL-CG-PC3) <br />Congener PBDEs (ECL-CG-PBDE) _ <br />(others,type In ) _ <br />Is Objective: Waste Charactenzation <br />on Llrnit Raqulrements: (Check ECL Users Manual to assure detault OL is sufficient.) <br />Other Comments: <br />Expected Date of Sample Arriwal at Lab 01/17107 (mmlddlyy) <br />PART Ci : (By SMO - ECL) 0 ARF's Revision No. <br />Initials: (Date: <br />Authorizallon Plumber (AN) � - ' <br />Lao to Receive Sampla(s) �4P �r <br />'�'�`� ARFa Revision No. <br />Initials: Dace: <br />Sample Management Officer (SMO) <br />��/' ❑ Check hex if cancelled <br />Initials: Date: <br />mm/dd/ Expiration Date (mrnlddjyy) <br />dais Date � I � ( �') E"P" 1 IyT �7 <br />7-11 1 <br />ei: '1 = 10`15a(requires unit dlief's signature cn SARi 2 = 10 - YC says 3 = 31 - 45 days 4 = wcen passu le <br />"TCLP. u time perm,m and ssrnple mala. type la eppropriale, lab may analyze or screen the sampte(s) Asst is determine it TCLP is needed- ECL01 (REV 10M) <br />F.I <br />