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X <br /> -0 _: <br /> e <br /> a c3, <br /> N Form ' 3lz <br /> a � <br /> �ace� U ■V_,rll <br /> � s > <br /> M. <br /> fA <br /> ANalY1ICAt SERVICES 4100 Atlas Ct.—Bakersfield,CA 93308—661.327.4911—Fax:661.327.1918—www pace a :-com 280198 7 of 0 <br /> r �G <br /> o cplel Arcadis U.S. Inc Proect#:30274343.01 Comments: re Z <br /> A Project Name:Forward Landfill C <br /> Also send results to Zina Kamal a N <br /> 0 0 Attn:Dalia Rumani z (Zina.Kamal@arcadis.com),Elena Strom o <br /> D Street Address: 18401 Von Karrnan Ave,Unit 300 BID# 1 Q26 Pond Grab <br /> N ° sampier(s)Name (elenastrom@arcdis.com),and Kyle Power e <br /> 0 o City,State,zip: Irvine, CA 92612 Onnted: 72 <br /> o in o (kpower@trihydro.com) <br /> Phone:805.234.1390 Fax: Sample Matrix Result Request "Surcharge C <br /> m <br /> > .i STD 5 Day" 14 Day" <br /> W ° A email: dalia.rumani@arcadis.com ° <br /> kv s N N 3 3 m I—3 Day., 7 2 Day.. CD <br /> t Day.. <br /> m Work Order#: ( ('I } o Z m a m Rush requests must be approved <br /> �. e X o o Notes <br /> arts. . DescriptionSampled iL � �i w o k7 3 Other <br /> ro A 0 <br /> o � Sample <br /> Compost Pond r <br /> a N <br /> C> to <br /> to <br /> 9 � 00 <br /> rn< s <br /> C, G x <br /> N h p <br /> cc K - <br /> D� I I N <br /> x � <br /> � 6 � <br /> 3 <br /> W o n it <br /> N <br /> �4 a x +s 0P gc <br /> E p tad Mi3AS <br /> CD <br /> v <br /> G <br /> T' EDF Re ulred Geotracker Global ID <br /> b � Da Time <br /> e Same as above �X Yes ❑No <br /> o <br /> p Time p 1.Rec 'ved By <br /> client: a Landfill 1.Relln is d By `v, � <br /> � a ----------------- <br /> a Address: 999 S.Austin Road Date rme <br /> Date rime z.Reeewed By <br /> city: Mantecastate CA_zip 95336 System# 2. a q°' BY .G�z 2��r /I' Time <br /> r, (NeeOed for CLIP) Date <br /> pate- Time 3.Received ay <br /> ' Attn: ordero-209-235-9622 GIS/Key❑well star❑ 3•Re inquiahed BY <br /> P.O.#: <br /> Pace Analytical Bakersfield does not accept samples containing radioactive material above background levels. samples containing radioactive material must be disclosed prior to receipt.Any samples suspected <br /> levels will not be accepted and will be <br /> of containing radioactive material above background resumed to client. <br /> v <br /> m <br /> 0 <br /> m <br /> CO <br /> 0 <br /> 8 <br />