ARCHIVED REPORTS XR0006585 - Laserfiche WebLink

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� .J uuJ J VLIIV� LAIVU ww1 yjwI I roil, vr, JJVJI %-V-j , .v .Jwv , ....r `. � U ❑ 19 Striker Ave , Suite 8• Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 04 N Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 Tosco ❑ 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 U 1551 Industrial/Road - San Carlos, CA 94070- (650) 232-9600 FAX (650) 232-9612 Consultant Company 6--H f an -ThG. 1 'fc%;,4JS Protect Name 1,{d3 C-ovnlry b 13LV P Address (� y } $i twrey, C-�- S-,,Jr- S � TOSCO Engineer (required) L� City t 4 h State tZA Zip CodegLJ54.5 j J Telephone °tizs� SS 1 �$5 FAX # ZS SSl'egg Site #, City, State t t9�. . O�1'C 7a h W Report To ao Sampler OC Data Level D (standard) O Level C ❑ Level B ❑ Level A U Y ' Analyses Requested S Turnaround ]�10 Work Days ❑5 Work Days ❑3 Work Days ❑ Drinking Water Y q a- Time• ❑ 2 Work Days ❑ 1 Work Day ❑2-8 Hours ❑Waste Water �h CPQ ,p9 CODE: ❑Misc ❑ Detect ❑Eval ❑ Remed ❑Demol ©Closure Other y40 Client Date/Time Matrix # of Cont Sequoia's � +`° ��,ti� X10 \a� �° �vA �o Comments Sample I D Sampled Desc Cant Type Sample # �Q �� Q �o �,,,,- 10 /y o 11 PC) vqs x X /K X Cr 2 w-11 tohf o/ !f xA 3 t -titin, cn 3 3 0 4 } 5 � 6 7 8 9 a Cr 10 N Relinquished By Date /v Time 17 45" Received By Date T me (D Relinquished By Date Time Received By Date Time Relinquished By Date Time Received By Date Time Were Samples Received in Good Condition? U Yes ❑No Samples on Ice? U Yes U 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)Wa* report issued within the requested turnaround time? ❑Yes W o if no, what was the turnaround time? ginnatiirP Company__ D Rr.r.rnvn'f hu