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TIO$Co ar t+!690 Chesapeake Dnve•RedwoW City,CA 94053-(415)364.9600 zI 18939 1201h Ave,N E,Suite 101 •Bolheil,SNA 9W11•(2a 481 9200 <br /> ❑819 Sinker Ave Suite 8■Sacramanta CA 95934. 916 921-9600 J Fast 111 t5 Montgomery,Suite 6 <br /> U (4)%0004, Ur { ) i9 ry, Spokane,WA 99208•(509)924.9200 <br /> ❑ 404 N Wiget lane-Walnut Creek,CA 94598•(510)9889600 4 15065 S W Sequoia Pkwy Sude 110-Portland,OR 97272-(50.3)8Z4.9000 r <br /> Consultant Company a C V Project Name <br /> Address C2=FL (44 0 UNeEh kC Project Manager ! 27 •1335 00 <br /> CItY 0— State Zip Code APE <br /> Telephone IO - t - 7$00 FAX# -75 Site U. City, State p# 4 °' CIO <br /> Re ort To Sam ler j/! (4 QC Data tfLevel D(sumdarco ❑ Level C ❑Level B ❑ Level A -" <br /> c <br /> Turnaround A_10 work Days J 5 Work Days ❑3 Work Days ❑ Drinking Water Anai ses R uested a <br /> Time ❑2 Work Das Zr1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> CODE: G M1sc U Detect eEval ❑ Remed J Demol Q Closure Other b <br /> Client Datemme Matrix #of Cant Laboratory <br /> Sample I D Sampled Desc Cant Type Sample# /q V°� Comments <br /> t - glyhr ;z:w c <br /> 3 ,1S ti 1 'U <br /> In <br /> 'k gait Ishf.r-1132 <br /> u'n[a' 3 <br /> 0 <br /> ''o <br /> 6 C,2 rd .8 �;xS <br /> woo <br /> IDA UT t2foo <br /> •3e vt <br /> 10 0 <br /> �a <br /> 0 <br /> Relinquished By r Date Time ! FReceivGdBy <br /> B to y'j Time /z t3 <br /> 17 Relinquished By Date f &_ Time /3Kr Date Time <br /> Relinquished 13V inns iReceived By Lab Dale 2 V efftme !3 5L .b <br /> Were Samples Received in Good Condition?G Yes O No Samples on ice? 4 Yes O No Method of Ship It Page—of_ <br /> rose comp et upon receipt of report <br /> 1) Were the analyses requested on the Chain of Custody reported? ❑Yes 4 No If no,what analyses are still needed? <br /> 2) Was the report issued within the requested luunaround time? ❑Yes O No If no, what was the turnaround time? <br /> A raved b <br /> PP Y Signature Company Date <br />