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No 010270 ve•Morgan Hill,CA 95037+(408)776-9G04-FAX(4013)782-63D© <br /> 819 Sinker Avo.,Sruia 8-Sacramento,CA 85534•(916)921-9800•FAX(916)921-0100 <br /> nrr%SCO EIT04 K VYget Lime a.Walnut Creek,CA 94598•(9?5)988-9000•FAX(M)988-9673 <br /> ❑ f 455 MCaowoll Blvd Norlh,Srnte D a Pelaluma,CA 949541(707)792-iM-FAX(!07)792-0342 <br /> U 1551 Industrral Road-San Carlos,CA 94070 a(650)232-8600 a FAX(650)?3241612 <br /> Consultant Company,Woa0Tosco Engineer <br /> r _ ---- - — <br /> Addwusc IrV <br /> SiteWCity- ro (Ify-a Sta ( Zrp Gude: Site Address <br /> Y©1aPrlbEtic Fax 9- � .tmglf• ! � -- — City,Stala <br /> _ NPL <br /> lieport To '� -Sampler j, 1 QC Data. ❑1-avol D(SI-andard) ❑tjml C ❑l avol B ❑Lovo1 A <br /> Tu'around PO Wark a ❑5 WDrk Days a 3 Work flaps l7 Drinking Weler Analyses Requested <br /> Yimw. E] 2 Work Days 01 Work Day 112-S Hours C1 Waste 1�►ater <br /> ❑other o h'N � <br /> Project Coding. <br /> Client — Date/Time Matrix d of Cont. �Sequala'3 <br /> Sample IJIL _ Sampled Hese, G0111. TWe Semple q o ` Comments <br /> I NnTJ <br /> 2 1-.2743 <br /> 3 <br /> s — � <br /> e - , <br /> 9 - - -- o <br /> 17 <br /> Relinquished By. _ _ _ Ditto & Tine• to Recelved S [lptc�/3��r3 Titus <br /> [iii I l <br /> Relinquished By' _ - -- Date* .3b03 Time ,4x 0 Flecslvec#a . Hats _ Time. <br /> Rgfift Rshed rap= _ €late Til re• Recelved B Data Tams. _ <br /> Were Samples Received in Good Carlditien 1/1 Yes U No Samples orE leo? Yes 0 N Method of Shipment_- �Wtex pl--- Page of <br /> To be cvmplotad upon receipt of roporl <br /> 1)Wcro iho armlysos roquostod on the Chain of CtrstodY raPWtcd? LiYes ❑No Tr no,what analyses are still needed? <br /> 2)Was the iepoil issued vntlun the requested turnaround iime7 UYesl p No It no,what was the turnaround ifrne7 <br /> Appro Sfpnature <br /> CampaEtiy' Date <br /> NOW <br /> I _ — <br /> ' � <br />