Laserfiche WebLink
State of California <br />California Environmental Protection Aaenov <br />Department of Toxic Substances Control <br />ENVIRONMENTAL CHEMISTRY LABORATORY <br />1. Authorization Number <br />ECL No.: 1/E()J0 0 2. Page <br />zp ell <br />SAMPLE ANALYSIS REQUEST <br />Tog 1 of <br />3. Requestor:(ro Receive Resulk) a. Name: Trevor Anderson <br />4. Project Name (If applicable): <br />b. Address: 8800 Cal Center Drive <br />rwaw m,meag <br />Stockton Propeller, Inc. <br />Sacramento, CA 95826 <br />tory weu. ar,) <br />C.Phime: (916)0053834 oras co8e nail d. Fax: <br />ia.ea cone rmp <br />S.TAT Level: 2 <br />a. Email: trevocanderson @dwccca.gov <br />6. Sampling Information: a. Date?ime Sampled: <br />06/03/21 (mm/dd/yy) <br />7.Code ...... a wan, o-mawm rweraumeappiwa.) <br />b. Location: EPA ID No. N/A <br />(p:Op AM/PM) <br />a. Unit mmwom.. mcmomu mre.yaro„gsgct <br />Site: Stockton Propeller, Inc. <br />b. Project ID DrO91524248 <br />Address: 2478 Wilcox Road <br />(w.am,om,I <br />c. Activity ID 36322 <br />Stockton, CA 95215 <br />IoW were. up, <br />it MPC AIA <br />GPS-Lat: GPS-Loq, <br />e. County 39 --San Joaquin <br />GPS -A0: GPS -Depth: <br />S. Samples: <br />f. Numbero/ <br />elD b. Collectors No. c. ECL No. d. Matrix <br />a- Container Size wMainers g. Preservative 7 Field Information <br />OI rb1'— W'W I ta+ra <br />32nzUG <br />z sP-o2_ Widows w.. <br />3z oz jl Me <br />3 SP -03 %e LfL0fi0 Lo ,e <br />3z.c 1 12e <br />4 SP -o44 gE Wi1-1 Lj.N. <br />32eL t <br />5 5(- i Sf 07.0.41 Luki <br />32 e: I 2x6 <br />6 SP -06 B! uLoIB ua.o <br />32.z l ZE <br />7 Sle- 07 we07.0-i"y <br />3ies I r <br />15P-02.0" <br />3 SP -09 15P-02.0" Sbi� <br />L <br />9 SP-011Bow 1. <br />32z ' <br />/ <br />9. Anal sis Re nested: Enter sample IDs and sample ID ranges separated <br />by commas. For example, 1-3 6.7, 9 <br />6 <br />Inc, anic Anal sis Sam le s) ID <br />sis Sam les ID <br />Metals Scan (ICP -AES. 6010C) I— <br />E <br />WET Meals (do WET regardless) (^ <br />L <br />o <br />H forlignib(90406 orgO40C)tC1p�—q <br />c1.a'..a.a, 6 4 -5 <br />P1a. <br />Other Metals: Chromium VI <br />;aAna <br />c. TCLP Anal sis <br />sis <br />Metals (doTCLP regardless) i-9C�(� <br />L(4(ba4 <br />Comments for Multiphasic Samples/Analysis Prlorhy: <br />10. Analysis Objective: Waste Classification <br />11. Detection Limit Requirements: <br />12. Supplemental Requests: Enter sample IDs as described in Item 8 <br />13. ECL Lab Remarks: <br />Desfrer Sam es ID <br />s <br />6 <br />nitials <br />C <br />Date <br />a <br />ib. ChTitle <br />Saforea�1R.J� <br />Sagnil`InclusiveOafs'ofCusrody <br />� 3 tA¢( <br />ofrttrtawl'fs�• <br />4/31,1011 to <br />c <br />° <br />d <br />to <br />0 <br />e. <br />ro <br />to <br />ro <br />.--.7� -y-.--,. — mane".r."ea iorrourn,e <br />Page 11 of 20 <br />