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X <br /> (o <br /> O <br /> e <br /> a ;v <br /> Ce�� Chain of Custody Form 3 <br /> )�— rc <br /> a ANALYTICAL SERVICES 4100 Atlas Ct.—Bakersfield,CA 93308—661.327. 9 Fax:ro 661.327.1916—www.pacelabs.com c <br /> 'c' s, Rayon To <br /> N y <br /> Client: Arcadis U.S. Inc project#:30274343.01 - Paged_of L <br /> Attn:Dalia Rumani Project Name:Forward Landfill o Comments: m Z <br /> O = Y H c See Arcadis Attachments A and B for VOC and Dissolved Metals Q. m ^r <br /> a M Street Address: 18401 Von Karman Ave,Unit 300 BID# 1Q26 Groundwater Monitoring Wells m Fv E <br /> O o� M .; � ai Diss Metals=AI,Sh,As,So,Be,Cd,Cr,Co,Cu,Fe.Mn,Mo.Pb.Hg.Ni.Se.Ag,TI.Sn.V. (7 <br /> O Sampler(s)Nyed y z Zn-Not Filtered C �e <br /> D s City,state,zip: Irvine, CA 92612 printed: L ( N o B a (W <br /> y U Also send results to Zino Kornai(ZIna.Kamal@arcadis.com).Elena Strom (D <br /> N N Phone:805.234.1390 Fax: o Z N c (elena.seom@arcadis.com),and Kyle Power(kpower4trihyd-com) <br /> o a z n ' Sample Matrix Result Request "Surcharge CCD <br /> Email: dalia.rumani@arcadis.com o �, m A t`o <br /> co p Y 'a g S o _to a m J STD 5 Day" —]4 Day" <br /> z d S a 'm ro <br /> Do A Work Order#: �:(J I`I °J z °' °' " -0 3 Da 2 Da 1 Day- <br /> 0 <br /> v d Y > d 3 f Y" v" l <br /> m s vN N 0 a Y Rush requests must be approved c <br /> I N - O N O N N Q 5 N J O <br /> m' a > v 0 F- o o o o 45 3 Other Notes <br /> a <br /> Z O X <br /> O r `$ Y rD <br /> ❑ O <br /> � s <br /> C, G x �I0 <br /> �IDiv I ' - q '/ <br /> o <br /> 0 <br /> X a A <br /> " A I <br /> � 6 � <br /> 3 <br /> W � n <br /> V o x <br /> co <br /> W = � <br /> ID <br /> O <br /> � n <br /> v <br /> � 40 <br /> EDF Required GeotrackerGlobal ID <br /> ® Same as above ❑Yes [-]No <br /> oClient: lard Landfill 1.Relinquished B Date , -Time 1.Received By Date Time <br /> Address:9999 S. Austin Road ----------- — <br /> s a city: Manteca State CA zip 95336 system# z.Re6 ed By Date Time z.Receiv By Data Time <br /> s; (Needed for CLIP) <br /> :7 ' , <br /> a a. Attn: Osvaldo Cordero-2 -2 5-9622 GISMey❑Well Star❑ 3. a ngaished By Date Time 3. eceived By Date Time <br /> o � <br /> 2 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 /> of containing radioactive material above background levels will not be accepted and will be returned to client. <br /> N <br /> O <br /> (D <br /> Cn <br /> O_ <br /> V <br /> Ol <br />