Laserfiche WebLink
U 885 Jarvis DrivqgWorgan Hill, CA 95037 - (406) 776-9600- FAX (408) 782-6308 <br /> I ��1 <br /> jbW-0414 fr�1 19 Striker Ave ite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-do <br /> r404 N Wiget Lane•Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> Tosco U 1455 McDowell Blvd North, Suite D -, Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0 42 <br /> ❑ 1551 Industrial Road- San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Consultant Company �— ptJ Project Name (1' O1 • <br /> Address t TOSCO Engineer (required) Irp 01-iCityAt, Stale Zip Code <br /> Telephone FAX # �- (� Site #, City, State m <br /> Report To Sampler QC Data Xevel D (Standard) © Level C 0 Level B ❑ Level A U <br /> i <br /> Y <br /> Turnaround �i0 Work Days O 5 Work Days ❑3 Work Days U Drinking Water Analyses Requested <br /> Time 1 U 2 Work Days U 1Work Day ❑2-8 Hours U Waste Water & P , p�g� <br /> ia. <br /> ❑Other , � <br /> CODE. ❑misc U Detect U Eval U Remed U Dema! 0 Closure � \ ° �` <br /> 4Client Date/Time Matrix # of Cant Sequoia's �� \P �`�p �e�V `IT W, Comments <br /> rriple i D Sampled Desc Cont Type Sample # <br /> Cr <br /> s <br /> fi (� <br /> 3 (4- <br /> 4 x- <br /> ,� <br /> m <br /> W- -� <br /> 777+ <br /> ' J -'4 (U <br /> O <br /> 3 <br /> 10 Cr <br /> Relinquished By Dat f� Time kO7 Received By Date Time, <br /> L <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received BDate Z 3 Time. G d <br /> Were Samples Received in Good Condition? 0 Yes 0 No Samples on Ice? 0 Yes 0 No —god of S ment Page_of , <br /> it <br /> To be completed upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes O No If no, what analyses are still needed? <br /> 2)Was the report issued within the requested turnaround time9 0 Yes ❑ No if no, what was the turnaround time? <br /> Approved by Signature Company Date <br />