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State of California <br />Qaliforma Envlmnmental P <br />Department of Toxic Substances Control <br />ENVIRONMENTAL CHEMISTRY LABORATORY <br />1. Authodaation Number <br />ECL No.; 6E(i1O1p$ 2. <br />SAMPLE ANALYSIS REQUEST <br />tmlo <br />Page <br />To 1 of <br />3. Requeatorgo Receive Resuas) e. Name: Trevor Anderson <br />4. Project Name (If ileable): <br />pp <br />b. Address: 8800 Cal Center Drive <br />i... mme.rl <br />Stockton Propeller, Inc. <br />Sacramento, CA 95826 <br />;cur, alae. AN <br />c. Phone: (916)845-36J01anac ,,ul d. Fax: <br />(—emman) <br />S.TAT Level: 2 <br />e. Email: travar.ancleson @dtsc.w.gov <br />6. Sampling Information: a. Date?me Sampled: <br />06/03/21 (mm/drift) 7. Codes (-I- — ae9 d— mmrar m a aedumuel <br />b. Location: EPA ID No. N/A <br />(#."AM/PM) a. Ung xvwom.au,nwl n,..uv.re.yml <br />Site: Stockton Propeller, Inc. <br />b. Project ID DIPC91524248 <br />Address: 2478 Wilcox Road <br />pees n—lot, c. Activity 10 36322 <br />Stockton, CA 95215 <br />kiry.Ila.. eel d. MPC "YA <br />GPS-Lat GPSlon 9 <br />GPS -A8: <br />e. County 39 -San Joaquin <br />_ GPSDepth: <br />_ <br />8. Samples: f. Number of <br />a.ID b. Calledor9 No. n ECL Ne. d. Mal e. Container Size containers 2. Preservative I Field Informal <br />1 01 ee:IDUU19 _Lice'. <br />P- <br />z SO2 'fSCULQbN <br />32.At. I g <br />Lwal <br />3207- 1 TCC <br />3 SP -03 wecr+oio L.A... <br />3a.� 5ze <br />4 SP-OLf eeow�l t,. a <br />Sao:_ tt <br />6 . SP-o6Q_ B[; ato�2 4w... <br />32.s I <br />6 SP -06 {be ULO'ab Upr.o <br />32em lFILE <br />7 $P-07 BB dlo�y Sp6/ <br />Saes 1 �e <br />8 s -aS_ Beoto rill <br />Q <br />Szeis t � <br />9 O e ol.0 <br />32er>: ' <br />V. Anal sis R nested: Enter sample IDs end sample ID ranges aepamletl <br />by commas. For ezample, 1-3, 17, 9 <br />a. Ino me Anel is Sam les ID <br />b. Organic Analis Sam lea ID <br />I F <br />Metals Scan (ICP.AES, 6010C) 1 <br />E <br />WET Metals (do WET regardless) <br />1. <br />rd <br />H for Wall or 9040C)`loteji_ '�.4- <br />- <br />D <br />cW...e. b 9-5 <br />Other metes: Chromium VI <br />c. TCLP Anal Is <br />d. Other Analyst <br />Metals (do TCLP regardless) 9 <br />pe; B . ...Fbh4iei sJ WAI Mi <br />V/^� <br />e. Comments for Mumphacic Sampla gAnalyalc Pdndw. <br />10. Analysis Objective: Waste Classification <br />11, Detection Limit Requirements: <br />12. Su lemental R nears: Enter sample IDs as described <br />in Rem 9 <br />13. ECL Lab Remarks: <br />Deshad Anal Sls Sam les ID <br />c <br />E <br />- <br />Initials <br />A <br />Dae <br />e <br />14. Chain of Cuatotl <br />Name Titk <br />a' )�)REJtNt SR. fist• 5 <br />Sharsture Indusive Dates o/Cus(od <br />G/3/1os� ro 3 <br />l,.itAntun F'Ipw?�I++ Env. Scfeaal2r <br />C. <br />- - aa1 <br />X 4J 3Jtn1 m <br />tl. <br />in <br />0 <br />e . <br />to <br />E <br />to <br />to <br />07014600 rev a 1L2sF 017 m,,,,,,,..e e.. <br />+p In -,D e, Meks PhoocoPes for Your File <br />Page 24 of 33 <br />