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State of California <br />Pluffornia EnViroaMentalP--'I Aaen <br />Department of Toxic Substances Control <br />ENVIRONMENTAL CFIEMISTgY LABORATORY 1. Authorization Number <br />ECL No.:gEO�,lilg$ <br />SAMPLE ANALY315 REQUEST <br />2 page <br />3. Requaetor:Oo Recebe Resulu) a. Name: Trevor Antlereon <br />Tob�,(ff3- of <br />4. Address: 8800 Cel Center Drive <br />4. Project Name (If applicable): <br />3licabPiece <br />_ <br />px.„.umeen <br />Stockton ar, ins. <br />Sacramento. GA 95826 <br />6.TAT Level 2 <br />_ <br />c. Phone: (916)845-$6341erea mmm°a d. Fax: <br />Icib. aero. zrol <br />p,wmne can <br />e. Email: _ trevacantlerson �tltac.ca.gov <br />B. Sampling Informatlon: a. DataRIT Sampletl: 06/03127 <br />(mm/tld/yy) Z Cotler ..i:u,omuro ao.., naia<eumr <br />I ° e0°4"°'u <br />b. Location: EPA ID No. Wq <br />(k:aa AMIPM)a. Unit <br />She Stockton Propeller. Inc. <br />P <br />mwnc.oawmc�nsw m.,ro„ac.y,$t <br />-' - - - <br />— _ _ _. <br />b. ProjeM ID DRSC915242i8 <br />Address: 2473 Wilcox Road <br />was mated C. Activity 10 36322 <br />Stockton, CA 95215 <br />fab, xxx dal tl. MPC /� p <br />_ _ <br />GPS -Let: GPS -Long: <br />GPS - - <br />a. County 39 -San Joe uin <br />7 <br />-Alt GPS -Depth <br />- <br />8. Samples: f. Number of <br />a.ID bSPlleoCL No dtr-.ix Container con hera PreSselevaelie / Fleld Information <br />e_ . <br />z - <br />-- <br />-Ma <br />- <br />356 <br />_im- <br />—Si-ze-- <br />- <br />-_ <br />- <br />_. <br />9. Anal is Re uesled: Einer sam is IDs BIM sem le ID nn s seDeratetl <br />b commas. For exam le, 1J, 8-7, g <br />a. Inorganic Analysis Sam les ID <br />b. 0 enic Anal sirp <br />Sam les ID <br />Metals Seen(ICP-AES, 60100) j <br />E <br />WET Metals (do WET regardless) <br />- L <br />PH for Liquid (90408 Or 90400) <br />- - D <br />OIMr Metals: Chromium Vi - - - - <br />c.TCLPAnaI ala <br />d. Other Anal ala <br />Malate- (do TCLP regardless) <br />FItle6) -PflL- 'KialnI <br />e. Commante for Muldpha110 SamplealAnalysis Pdarity: <br />10. Analysis Objective: Waste Classification <br />11. Detection Limit Requirements: <br />12. Su lemental Re uwts: Enter sample IDs as doscribed in Item 9 <br />13. ECL Lab Remarks: <br />Desired Anal ale Sem les ID <br />E b <br />Initial$ <br />L A <br />Date <br />$ <br />14. Chain Of Ousted <br />Name rise <br />rifle <br />� 4o~ SC.6,V. Soaa'h9Y <br />i nature Inclusive Dates of us <br />:-ROJOR. <br />sit") to <br />b.frudntto Ma„hlvo.Sa4end+yd' <br />L l�Y.s2J to <br />C. <br />d. - <br />_ to o <br />to r <br />to <br />07.0146.0 MVO- 1P 92017 Accaoe by a,afa.. <br />..._..,-a...o, lour ne <br />Page 12 of 20 <br />