Laserfiche WebLink
0 q 665 Jarvis Drtveorgan Hdl, CA 85037 - (408)776-9600 ■ FAX(408)782-6348 0 <br /> NS 007406 p 819 Striker Ave., Suite 8 1, Sacfamento. CA 95834• (916) 921-96800 - FAX (9 16) 921-0100 <br /> TO 111%C ❑404 N Wiget Lame- walnut Croak, CA 94598 • (925) 988.9600 - FAX (925) 988-9673 <br /> C1 1455 McDowell Olvd North, Suite D - Petaluma,CA 94554 - (707) 792-1865 • FAX(707) 792-0342 <br /> Ll 1551 industrlal Rodd•Son Carlos, CA 94070- (640) 232-9GOD •FAX (650) 232-9612 <br /> Consultant Company rOA- T,tf-.c Tosco Engineer <br /> Address E y 1J. j'dof7aw-e# 131Vdt �wk- Site# M - <br /> city � 4 State CA, Zip Code q4 6 u Site Address <br /> Telephone: -7a7_-75q -34S_5_ Fax#' -707-731 _4 -ztl? tarty, Stalo C;,I CA � <br /> Report To' - vosslw Sampler. ' QC Data Level D (Standard) p Level C p Level B E7 Level A c <br /> Turnaround ❑ tg Work Days 5 Work Days a 3 WOFk[lays ❑ Dri ing MIN Analyses Requested � <br /> Time; ❑ 2 Work Days ❑ 1 W*rk Day ❑ 2-8 Fours Q Waste Water <br /> © other <br /> Protect Coding N .�. <br /> Sample I D S m rn Desc Cont Tone So u to# ��, Quo ���� � o g � Comments <br /> A p yp P� <br /> 1 WA .yr tr~•t 4: ?r3 3L - F,rr-- � l'1c - 1 X _ f s a <br /> j 2, tAw. ti S I tx+'011 :OS 541r f L.'r1� X _ � � � t►,o <br /> sa <br /> GYM <br /> 4 Y MT r <br /> - - - avel Col <br /> 7 <br /> s � <br /> 9. <br /> L,_0 <br /> -- <br /> Relinquished By. 61 Date -L 4 oL Time ,-Zs RecelvGd By Sit / r Date a Time 4 <br /> Flelinquished By. Date i I, Time. f °_ Received 13Date, Time <br /> 13ellnquisbed BY' Oate ;rite. ReceivedVO <br /> � N41101 <br /> #�, 1 Tiime��� <br /> Were Samplus Recelved In Good Conddton? Yes E] No Samples on Ieov $Yes ❑ No Method of Shipment q 0� Dago of � <br /> To be completed upon feMpl of report <br /> 1)Were the analyses requested an th a Chain of Custody reporled 7't Yes ❑hto If no,ghat analyses are atrll needed? 13 <br /> 2)Was eport issued with in the raquosted to maround tame? Cl Y6 iso If rw, at was 1ho tumaruund time?�•��, _Yca,7•�_et <br /> Appraved by — the �"^`T 1}' Signaturo /J/__' GmpdryY _�er`! {-� ►�yc data. Z 3 V <br />