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X <br /> CID <br /> 0 <br /> v <br /> a <br /> A � � <br /> A a �// �2� Chain of Custody Form 3 <br /> ANALYTICAL SERVICES 4100 Atlas Ct.-Bakersfield,CA 93308-66�3 4 1 -Fax:661.327.1918-www.pacelabs.com c z <br /> 3' Report To: M t- <br /> client: Arcadis U.S. Inc Protect#:30274343.01 Page of <br /> b Attn:Dalia Rumani Protect Name:Forward Landfill o C _62 Comments: 0 <br /> N e See Arcadis Attachments A and B for VOC and Dissdved Metals Q m r� <br /> a Street Address: 18401 Von Karmen Ave,Unit 300 BID# 1Q26 Groundwater Monitoring Wells -° H E rn .9 N <br /> O o M E ai Diss Metals=Al,Sb,As,Ba,Be,Cell,Cr,Co,Cu,Fe,Min,Mo.Pb,Hg,Ni,Se,Ag,Tl,Sn,V,O C O y Zn-Net Filtered 0 <br /> y City,State,Zip: Irvine, CA 92612 Printed�(s) VIOC( v c d 8 T @ o O e <br /> iv k LL <br /> ( y 0 a) U Also send results to Zina Kamal(Zma.Kamal@arcadis.ccm),Elena Strom <br /> Phone: 805.234.1390 Fax: <br /> _ (elena.strom@arcatlis.com),and Kyle Power(kpower@trlhydm.com) <br /> O o z �, m _ Sample Matrix Result Request **Surcharge co <br /> Email: dalia.rumani@arcadis.com o c 0 m �, M <br /> m Y f6 ? m Z STD ❑5 Day** 4 Da <br /> O a o m o I aryl) y.. <br /> ro M Work Order z z a�i m m ,o y.. -i Y" Day** �. <br /> t m > 3 3 Fl 3 Da 2 Da 1 •* <br /> m IJ y m ° 'o m y 8 m x a d Rush requests must be approved <br /> m' a. Description O O Sampledl ampledU 0 o ~ ' rli y o` a 3 Other Notes <br /> D 4 A 16 �t o <br /> 0 <br /> Z - w- 1131 <br /> a <br /> o1, <br /> II - la 1 <br /> wG x <br /> - 5 - 11 <br /> ° I G , - _ ti �-1 <br /> CID <br /> N <br /> - I D 'e C <br /> � I M 0 - 14 q �- A a <br /> xg <br /> a <br /> is S <br /> V o x <br /> Co <br /> WEL <br /> O <br /> � n <br /> N <br /> � o <br /> m ' ® Same as above EDF Required Geotracker ❑Yes ❑No Global ID <br /> o. <br /> Client: Forward Landfill <br /> o `�^° a„ 1. in hed Date Time 1.Received By Date Time <br /> Address:9999 S.Austin Road ----------------- LC �U�o (at <br /> city: Manteca System# 2.Relinquished B Date Time 2.Received By Date Time <br /> ty state zip 95336 t <br /> � (Needed for CLIP) <br /> Attn: V I ordero-209-235-9622 e'` e <br /> GIS/Key❑Well Star❑ 3.Relinquished By Date Time .Received Date Time <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 /> w of containing radioactive material above background levels will not be accepted and will be returned to client. <br /> a. <br /> N <br /> O <br /> m <br /> o, <br /> O_ <br /> (0 <br /> 07 <br />