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I� <br /> ❑ 885 Jarvis Drive • Morgan Hill, CA 95037 • (408) 776-9600 • FAX (408) 782-6308 <br /> No 008869 U 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 • FAX (916) 921-0100 <br /> C)404 N Wiget Lane • Walnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988 -9673 <br /> TOSCO ❑ 1456 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 • FAX (707) 792-0342 <br /> ❑ 1,951 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 <br /> Consultant Company ( �{- y.— Tosco Engineer Ed <br /> Address 16 wel I rX Site # d g I <br /> CityState �• Zip Code G� Site AddressAr 6 6-LVBA/PJ <br /> Telephone & 7 0$q— Fax# S City, State �hu kfulb 6 AU <br /> Report To0414 Sampler & e p p �� t`'� QC Data Level D (Standard) p Level C p Level l3 p Leval A <br /> e4 <br /> Turnaround * 10 Work Days ❑ 5 Work Days ❑ 3 Work Days ❑ Drinking Water Analyses Requested p <br /> Time p 2 Work Days ❑ 1 Work Day ❑ 2-8 Hours ❑ Waste Water 0 0 00 <br /> 0 Other <br /> Project Coding <br /> Client Date/-I-ime Matrix # of Cont Sequoia's �Q�� Q,Z,O �� ��' oti Comments <br /> Sample I D Sampled Desc Cont Type Sample # o <br /> 1 V vv'--- 7 } <br /> 2 C <br /> a <br /> a <br /> 3 Cr <br /> a) <br /> 4 <br /> 5 <br /> 8 <br /> 7 <br /> co <br /> 9 w <br /> 10 <br /> Relinquished By r <br /> Date �� Time D Received B441Date z1 GZ 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 2 Yes ❑ No Samples on Ice' Yes ❑ No Method of Shipment Page—A—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)Was the report issued within the requested tumaround time? ❑Yes ❑ No If no,what was the turnaround time? <br /> Approved b Signature Company Date - <br /> ,-Now <br />