Laserfiche WebLink
o 0 2 3 5 i El 885 Jarvis Drive• Morgan Hill, CA 95037• (408) 776-9600 • FAX (408) 782-6308 <br /> 11 <br /> N 0- 819 Striker Ave , Suite 8 • Sacramento, CA 95834• (916) 921-9600 FAX (916) 921-0100 <br /> TOSCO ❑ 404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> L11455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1665 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> Consultant Company .v V-- f V N� Project Name i" r <br /> Address V f v d -�- I I f TOSCO Engineer (required) <br /> City - �- State Zip Code q HA <br /> Telephone 7 FAX # 1707 Site #, City, State 6 70 q �G 0,-A to <br /> Report To ©a��� a iP 1� Sampler 6 Gp� Or ►S Data I� Level D (standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround 1P 10 Work Days ❑5 Work Days El Work Days ❑Drinking Water Analyses Requested <br /> Time ❑ 2 Work Days ❑ 1 Work Day ❑2-8 Hours p Waste Water ��5� 0\�5, �QP �QP�o1 ((� <br /> �, <br /> CODE' ❑ Misc ❑ Detect ❑ Eval ❑ Remed ❑ Demo! ❑Closure ©Other oe �Gy` <br /> Client Date/Time Matrix # of Cont Sequoia's `P��h� �Qp �4A��o` �eP `° �,o��`� l <br /> Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 1 V v r / vYW / VOA- NT <br /> 2 Vi/'� d ` '°�- <br /> �, I <br /> 3 3 <br /> 0 <br /> 4 <br /> I 5 } I <br /> 6 <br /> 7 <br /> t <br /> 8 <br /> cU <br /> I 9 <br /> 10 U) <br /> Relinquished By Date Tame �5 Received B ate Time <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Were Samples Received in Good Condition ❑Yes ❑ No Samples on Ice? ❑Yes ❑ 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? ❑Yes ❑ No If no, what analyses are still needed? <br /> 2) Waseport issued within the requested turnaround time? ❑Yes o If no, what was the turnaround time? <br /> 0 <br /> Approved by Signature Company Dat <br />