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N? <br /> 002351 7 Sa5 Jarvis Drive •Morgan Hill,CA 05037 -(408) 776-9600 •FAX(408)792-63Qa <br /> 11819 Striker Ave. Suila 8 a Sacramento, CA 95834 •(915)921-9600 FAX (916)921-0100 <br /> oro%sco ❑404 N Wigot Lana•Walnut Creek,CA 94598• (925) 900-9600 FAX (925)LBBB-9673 <br /> U 1455 McDowell Blvd North,Suite 0. Petarurna, CA 94954• (707)792-1865 FAX (707) 792-0312 <br /> U 1551 Industrial Road-San Carlos,CA 94070 •(650)232-9500 FAX(6150)232-91112 <br /> Cvnsullant Company .f�- 1 ,� ( f1 hfG. Project Name <br /> Addross d tr f TOSCO grigineer(required) i -7 <br /> City pofil 114 State Zip Code 61 4q 9 7 7 At i HG 0Pj C <br /> T ophone - l FAX l€ Sife#, City, State 6 G k i o / r_ <br /> Report To Aoff va, Gamprcr C Data A Level D (standard) U Level C ❑ Level t3 ❑ Level A <br /> Ttimaround $10 Mik Days ❑5 Work Days ❑3 Work Days ❑[finking Water Analyses Requested <br /> Time L3 2 Work Rays U 1 Work Day ❑2-8 Hours ❑Waste Water 4 <br /> CODE: ❑Mise ❑Detect ❑Eval C1 Remed ❑Demol ❑Closure ❑Qiher <br /> Client DatelTime Matrix 11 of Cont Sequelas xl eQ�$ a <br /> Sample#D Sampled DO= Cant Typo sample Comments <br /> 1 `^ l 011 WVW m <br /> 2 !�` � fY`" f _ <br /> 3 <br /> 4 <br /> 6 <br /> 7 - -- - <br /> 8 <br /> 9. <br /> - r � <br /> 10 T-1 <br /> 0 <br /> T � <br /> j 11 <br /> Refiriqulshed By Date- ReceivL4eWkieVeh6Tim <br /> r <br /> Relinquished lay- Date- Time Recelved By pate Time <br /> Relinqulshad By. Date Time Recefved By. Date. Time. <br /> Were samples Aece ived in Good Condilion? U Yes :]No Samples on Ica? ❑Yes ❑blo Method al S hlgment Page^of_ <br /> To bo ompleled upon receipt of report. <br /> 1)Were the analyses requostod on the Chain of Custody reported? "s Cl No If no,what anO/aes are still needed? <br /> 2)W ha reparl Issued within the requested turnaround ilrnc? Cl Yes n If no,what was the turnaround time?_ _ _ <br /> Approve t a..� J ver G Signature. 1 Company ��.� Date- _-?0;73 <br />