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❑ 885 Jarvis 0rivetorgan Hill, CA 95037 - (408) 776-9500- FAX(408 7 - <br /> ° 007529 ❑ 819 Striker Ave ,Suite B■ Sacramento, CA 95834- (9 18) 921-9600 ►1X(916) 921-0100 <br /> C]404 N Wlget Lane -Walnut Crook, CA 94598 - (925) 988-9600 - FAX <br /> ❑ 1455 McDowell Blvd North, Suite D + Petaluma,CA 04954 - (707) 792-1895 ■ FAX(707) 792-0342 <br /> T ON S Ct] 1551 Induslrlal Road + San Carlos,CA 04070 - (650) 232-9600- FAX (650) 232-9512 <br /> Consultant Company �1efi ,Ivies Two Engineer- 1:_� ub �n <br /> Addross 31� N.a•i{. �h�, ,p.�l Iv 5 . - ' . Site# Now), <br /> City e. , va+� State- CA Zip Code 94jakig I — Sito Address- HO co.,-4nl OV6 IWA <br /> Telephone "�Or.9 -� �� -�' Fax# 7. -3Z1 City, state {J- � U <br /> Report ToI Sampler ` I QC Dala ,Level 0 (Standard) r,Level C p Lovell B q level A <br /> Turnaround ❑ 10 Work Days )( 5 Work Days ❑ 3 Warks Days Cl Drinking Watar Analyses Requested � <br /> Time- p 2 Work Days f--] 1 Work Day C1 2-8 Flours Cl Waste mater <br /> — - — ❑ Oilier �� <br /> Project Coding l�lh• ��� ��� <br /> Client DatefTimo Matrix # of Cont Sequoia's ��� ��Q '�� ����`� Comments <br /> Sample I D Sampf d Dew Cant Type Sample # <br /> 2 - <br /> o <br /> 40 n►'nty,tag cr <br /> 4 <br /> 7 -- — <br /> 8 <br /> a <br /> Aid 6 <br /> ) <br /> i <br /> r 2 Received 8 1!2! =� Date f z a Time <br /> RehnquishBd 13y ..�. pate: v t= Tirne, <br /> Relinquished By _ Date) irne y�f� Received 8 011 Date _ Time <br /> Relinquished By. Date lune Received y DateV �tth Time` <br /> Were Samplos Received In Good Condition? los ❑ No Samples on Ice? Yes U No Methw of Shlpmeiu .# ��" Page <br /> To tie comprotcd upon receipt of report ` <br /> j)Were the analyses requested on the Chain of Cush r reporled? �1 p Yes L]No IF no,what anarysea aro still nanded'J <br /> 2}Was the r6ppst kssued wjjhTn the requested tumaround time? ❑ IXNo it Mi was tbo turnaround 11ma? `J <br /> Approved btr., Company Date kZ-'Lw—o--L <br />