ARCHIVED REPORTS XR0000784 - Laserfiche WebLink

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1� -' U U1 bU.y -- .,..., u..,,r... L.-�IrV rrw�aJ.u�i I iAu, ,.r-I .lJV.-7! — k-tVV) f !V—.7VVv - I t%/% t-*Vu) !QL'uJVD A819 Stryker Ave , Suite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 ❑ 404 N Wiget Lane -Walnut Creek, CA 94598 - (925) 968-9600'17AX (925) 988-9673 TOSCOFJ 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 ❑ 1551 Industrial Road - San Carlos, CA 94070 - (650) 232-9600 FAX (650) 232-9612 Consultant Company Project Name i L / C 0 /'r t fa JCC) 2 � Address 3 93 ae a P0P, ' �Z� TOSCO Engineer (required) �a 15 City State G,c�. Zip Code Y-S",g!�k Z -- - Telephone6-3o) 624_69 FAX # [S3'o)6 r�� Site #, City,,State r-�Ca /2,O-- /a 6i4 m U ' Report To Mot.1.1c [Sapler Qq if,� son QC Data Level D (Standard) ❑ Levei C J Level B l l Level A , x Turnaround )4 10 Work Days U 5 Work Days ❑3 Work Days ❑ Drinking Water Analyses Requested Time U 2 Work Days ❑ 1 Work Day ❑2-8 Hours U Waste Water CODE' U Misc U Detect ❑ Pval ❑ Rerned ❑Demol ❑Closure Other(Sol/� o oa°� Gca oo� Client Date/Time Matrix # of Cont Sequoia's Sarr,ple I D Sampled Desc Cont Type Sample # �Q ��`� �1�� Q�` Comments 1 ! o - Z09 1x1 Vic 615 S , 1 a mJ5 � x x X X sit �3 � �� 0 2 �t u�- lav r3� I ti ��r — CT - 3 +�+$ �S') 3SS I fry �/ mjV-8 f�O�) 3 w t ° m 1105! AV- f mow- ,u JPS 7 81 mrr 2-V-4) 8 . H�df'rJ�rraX i 9 1 TOM/ m 10 0- m I � Relinquished By Date �ot� Time y� Received By Date Time v Relinquish y Date Time Received By Date Time I Relinquished By Date Time Received Bl Day` Time L � � Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice? ❑Yes ❑No Method of Shipment Page_of To be completed upon receipt of report 1) Were the analyses requested on the Chain of Custody reported? ❑Yes ❑ No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? ©Yes ❑ No If no, what was the turnaround time? Approv Signature Company