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oTL-San Francesco• <br /> ZA50AV0001ift SH& Chain Of Custody Record <br /> Shell Project Manager to be invoiced INCIDENT NUMBER(S&E ONLY) <br /> c <br /> 1220 Quarry Lane Q SCIENCE e!,ENGINEERING 9 $ 9 9 $ 'S 8 4 I DATE _ <br /> Pleasanton CA 94566 OTECHNICAL SERVICES Dents Brown r SAP or CRMT NUMBER(TSICRMT) <br /> ❑CRt4TH0U5TON PAGE <br /> 925}484-1919 925)484-1096 fax <br /> SAMPLING COMPANY LOG CODE SITE ADDRESS IStreet Fud Cetyl GLOBAL i0 NO <br /> Cambria Environmental Technology,Inc CUTS 2575 Country Club Boulevard, Stockton 70607700697 <br /> ADDRESS EOF DELIVERABLE TO(RsspwAOH Furya0.>tgrael PHONE Nq E61A1L C V 01 PZLECTNI) <br /> 5900 Hollis Street,Suite A,Emeryville,CA 94608 Joe Neely 707 933 2361 sonomaedf@carrbrla env cern 247 C783 003 <br /> PROJECT CONTACT(Hardcopy a PDP Report W) <br /> CynthlaVasko SAkLPLERNAME( ' " r / LABUS€ONLY <br /> TELEPHONE ' <br /> " <br /> EMAIL r+ <br /> 510-420 3344 510-420 9170 cvasko@camhria env cam L <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> Q 10 DAYS m S DAYS ❑72 HOURS [1 48 HOURS 0 24 HOURS❑LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA RWQCB REPORT FORMAT ❑ UST AGENCY <br /> GCIMS MTBE CONFIRMATION HIGHEST HIGHEST per BORING ALL 5 FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS PTT NEEDED ~ ~ I <br /> E D ❑ 4 ti ConlalnerlPreservative <br /> (D k or PID Readings <br /> Compliance Sam IUS" Specified methods must be used no substttullons EDF <br /> p mn N N 'O p or Laboratory Notes <br /> Report required for INF and EFF only For sample EFF 0 5 ppb detection limit ap a <br /> — <br /> (DL)required for D)PE,TAME ETRE and MTBE 5 0 ppb DL required for TBA pH v g o m a o a w L <br /> has 24hr hold time&must be reported to 2 decimal places Lu e <br /> Hour Meter J X Flowmeter 00/ 42 73 <br /> IL w 0 j <br /> LAB <br /> TEMPERAnkEf( <br /> °� <br /> RECEIPT C- <br /> Field Sample Identification Np — OSAMPLING Lu <br /> USE MATRIx CONT d d <br /> ONLY E TIME r m 2 vS O <br /> R/ A <br /> INF AQ 5 1 X X X X VOAs w1HC[ <br /> X X X X VOAs wIHCI <br /> MID 1 AQ 5 1 1 i <br /> MID 2 �D AQ 5 X X X X VOAs w1HCl <br /> MID 3 I' AQ 5 X X X X VOAs w1HCI <br /> VOAs wrHCI+500 mL poly+ <br /> EFF ��Y`L' AQ 7 X X X X X X 1L Amber WlHCI <br /> I I <br /> I <br /> r r m <br /> m <br /> ReWt4w d (S W R..AN by signal—e Dale Tma <br /> a <br /> Re ng" (Sgnaa.i Re®wed by(Squat..) Dale r»ne <br /> q <br /> N <br /> C� <br /> Rwq—had by iSguolwel R..,.d by(SgnaW.) Dale T„r <br /> a <br /> I <br /> DISTRIBUTION whoa wOh fnal yaP.1t G.eu la F4.Y&IWw ane Pnk W CI-t to+55100 See i R— <br /> G\Stockton 2575 Country Club\o&m\Field Forms\[0783 GVVE COCs xls]Month)y a 7„s Comb a Rp u � <br /> I <br />