Laserfiche WebLink
Q 680 ChesaX o' Drive• Redwood City, CA 94063• (415) 364-9600 i=AX(115) 3 4?33 e <br /> UOiA ANALYTICALU 819 Striker -.,"Suite 8• Sacramento, CA 95834• (916)921-9600 FAX (916) 92 JO <br /> CHAIN OF CUSTODY 0 404 North Wiget Lane •Walnut Creek, CA 94598• (510) 988-9600 FAX (510)988-9673 <br /> Mobil Oil Consulting Firm: A(4 p Station No./Site Address: b"I -" 3j;(3 <br /> Address: C) FV1d 6erq Project Contact: A;(!!;(4- 4e,, <br /> City: L' V-e_(�J)rt-' State: CIA Zi : J s� Mobil Oil Engineer + <br /> Tel: �� b�� � � Fax.. 6 .60(o o^ 7� d Sam ler s) (signature): <br /> g y CODING <br /> a N o 3 (check one) <br /> c7 �, Vi o <br /> N N N v t° z Code 1 EJ Emergency <br /> c y m m '2 H a r a � Q cNv m Response ` <br /> m nl u� ,G m w w ~ � m y, <br /> Cp C Y O , to O O O 0 w A V <br /> C (� Q = AA <br /> m g � Q o N N lL Code 2 Q Site <br /> CL m. sp <br /> (d 22m. w ~ r. w T � C%1 `c� o m Assessment <br /> E. . m m _E0 <br /> u� ¢ 7c m a a a o¢ m m 2 <br /> m 9 , ,, �. F a rL _ _ Code 3 Remediation <br /> N �.:.: .�:o.. - ��.. -a-.—..:..z....��:_.. ,.m. .m-,ur._r—.0_O-. _� w w w F_ _, w a m m <br /> (Plan Devipmt.) <br /> +107 5 <br /> Code 4 Active Remed. <br /> (� s a art-up} <br /> (In t IIlSI <br /> W —`7.. , . .. 1�r <br /> (} Oma Code 5 �] Active Re;ed. <br /> rz: oa�M <br /> 2Z U 7 8 Code 6 Passive Remed/ <br /> r4 <br /> o V; _ Monitoring - <br /> X11 O 1 1 X Code 7 Closure <br /> - ( D 13: x 07,1-11 1 / code 8 Construction <br /> �: u z <br /> Code 9 Litigation/Claims <br /> p ru, 2 ►7 Fines <br /> Relinquished ( f J\ Dale/Tlme: R i d Dale/Tlme: Turnaround Time: (check ono): <br /> �•1 \ '� Normal Same day <br /> Reliqu <br /> n <br /> DatelTime Rec ive Daterrime: 1 day 2 day <br /> 5 day <br /> Relinquished b Datelrime: Received La D e!T ire: <br /> ample Integrity: <br /> , lnlact On Ice <br /> .- ��. <br /> Remarks: <br />