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N9 00158785 Jarvis Drive • Morgan Hill, CA 95037 a (408) 776-9600 • FAX (408) 782-6308 <br /> 619 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 . <br /> TOSCO U 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> lJ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> �I U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Consultant Company: jtaPa:�4;n 0.0 Project Name: <br /> c��D i'3 �— s-- <br /> Address: c 7�, _ <br /> C.. TOSCO Engineer (required) � 1LqID <br /> City:,(. 1Z r=1r�1 nl� State. zip Code: 3 _ -- <br /> d. <br /> Telephone: 4 ' FAX #: L3� Site #, City, State: <br /> Report To: -f 'r �`�r '� Sampler: CC Data: ❑ Level D (Standard) ❑ Level C U Level B 0 Level A V <br /> Turnaround �c <br /> �0 Work pas ❑5 Work Das U 3 Work Days iV Drinking Water Analyses Requested � <br /> Y y <br /> Time: U 2 Work Days U 1 Work Day U 2-8 Hours a- <br /> U Waste Water \ � p%IV QT01 <br /> CODE: U Misc. U Detect. U Eval. U Remed. U Demo]. U Closure U Other <br /> Client Dateffime Matrix # of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample # �Q�� � � ��� �Q�\ ,o\���e ��`� Comments <br /> P 3 V�1� <br /> S - t ky,D <br /> /du Y to <br /> IL" —I S. C� } <br /> v <br /> -;3ca <br /> C� <br /> Cr <br /> W <br /> W <br /> Relinquished By: { 3 Date:3/4/do Time/,7/S Received By: Date:)-2-1�csa Time: 7 , <br /> Relinquished By: �[ Date: Time: Received By: Date: Time: <br /> Relinquished By: i� Date: Time: Received By: Date: Time: <br /> Were Samples Received in Good Condition? s ❑No Samples on Ice? es ©No Method of Shipment Page of <br /> To be completed upon receipt of report: <br /> 1) Were the analyses requested on the Chain of Custody reported? dle�§s © o If no, what analyses are still needed? u <br /> 2)Was the report issued within the requested turnaround time? 0 Ye o If no, what was the turnaround time? jz <br /> Approved b •__— ___ Signature: Company:___,,,_, l Dat - <br />