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NA <br /> 010268 p 885 Jarvis Drive■mks n Dill.CA 95037•(408)770-9600•FAX(448)782.6308 <br /> 819 S1(1k0r Avo..8urte 8■Sacramento,CA 9583+ •0916)M-9600•FAX(918)921-x3100 <br /> FI404 iti1.3+4hgsl Lama■Walnut Crook,GA 94588•(WS)988 980{l•I•AX(925)988-9673 <br /> TOSCO P 1455 McDowell Blvd north.Surto 13■Pataluma,CA 94854•(707)792-1885•FAX(707)702,0342 <br /> F1 Road■San Carlos,CA 99470•(85.0)232-9604•FAX(650)232-9612 <br /> Gunsultant CompAcany. IM(I Tosco FngTneerKUM + - <br /> Address r '7+ fed 1V r�v — Site#. �c A <br /> '1 r t� <br /> CityState Zrp Coda Silo Address D <br /> 7eivphone _ fax#: -marl City,Slate <br /> — - <br /> RoporlTa Sampler,A 1 fir Cata ❑Laval D(Standard} F11,arr <br /> Levet G ❑ nt B Q Levet A ' <br /> U <br /> Mirnaratnid i4lilfark ays ❑5 Work Days 0 3 Work Days ❑Urinking Water Analyses Requested <br /> Time, [1 2 Wark Days ❑1 Walk Day 0 2.0 Hours 0 Waste Water <br /> Project Coding <br /> Mont OatellTme Matrix #of Cont Sequoia's <br /> 4 <br /> Samplo I D Sampled Dese Cont Type surriplel€ + O`�p� OanelncRls <br /> _ f - � - - - <br /> 6 - N53 <br /> 7. <br /> J } µ <br /> 70 <br /> .3 <br /> wo- YM w__10 or <br /> J <br /> Nlingeershed By _ Cate ll d T[mo- Recelym BY <br /> ut Oate r&A8,716 Tiime 1r� B <br /> Re13ggUis[rrni#3y; Oate• Tlrno G Recelvcr[B _ _ Date`f j_ Time <br /> Flelrn ulsh©d f3 MO. Tlmo Recelved By. Date- Tare <br /> Were Samplos Fiecelved in Good Gondrttan C as ❑No Samples on loa. Yes [T No Method of Shipment _ t01: if_ Page of <br /> To be completed upon receipt of roport - <br /> 1)Were the analyses mquostud on the CFrain of Custody reporled? Dyes O No [f no,what analyses are still needod?_ <br /> 2)Was the reporl issued wthrn the requested turnaround Vale? a yes LINO Ir ilq What was tlee turnaror,nd flrito?_ + <br /> AppraYod by.— _5rg nate re Company Date <br />