ARCHIVED REPORTS XR0008711 - Laserfiche WebLink

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001591 ❑885 Jarvis Drive • an Hill, CA 95037• (408) 776-9600 • FAX (408) 782-6308 819 Striker Ave., SW• Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 U 404 N.Wiget Lane • alnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 U 1455 TOSCO U 1551 Industrial al Ro d ell Blvd. *San Carlos, CA 94070 Petaluma,orth, Suite D - (6 0) 232-9600 AX 6506 2 FAX A 612 7) 792-0342 ( ) Consultant Company: JJ Project Name: � , c -- —� T) /�f – Address: lr! ") 1 �` TOSCO Engineer (required) �� City: = T'! l"}"1 � elf State, Zip Code: • Telephone:el FAX #: - J ' , r Site #, City, State: .� v 1 �>77k_V_,nCA c Report Ta: 1 Sampler: QC Data: U Level D Standard U Level C ❑ Level B ❑ Level A v Vr_ Com- • k. �, 1 c Turnaround �t0 Work Days U 5 Work Days U 3 Work Days U Drinking Water Analyses Requested or Time: 'U 2 Work Clays U 1 Work Day U 2-8 Hours U Waste Water �� QP� AQP CODE: U Misc. U Detect. U Eval. 0 Remed, O Demol, U Closure U Other 1h�. �, �` Client Date/Time Matrix # of Cont. Sequoia's �p� �� \P �QP� �,o �,o�`�` Sample I.D. Sampled Desc. Cont. Type Sample # Comments i 2(4'04 _ _l 11 30 -o t,racr I 10 I I. mss: -�, LQ } ,,n ( L'o 10GA, /o, Cr N Relinquished By: Date: ? Time; ]/j Received By: Date:, 2_ Y_60 Time: / m Relinquished By: Date: Time: Received By: Date: Time: Relinquished By: Date: Time: Received By: Date: Time: Were Samples Received in Good Condition? '9FYes ©No Samples on Ice? [ Yes t]No Method of Shipment Pagel of 3 To be completed upon receipt of report: 1)Were the analyses requested on the Chain of Custody reported? Ad**Yes U No If no, what analyses are still needed? 2) Was the report issued within the requested turnaround time? ❑Ye pKio if no, what was the turnaround time? M- QA- Approved by: _—__-- Signature: . 5_--___—__—_-- Company:--��__._--- ____ Date: