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i <br /> C1 885 Jarvis <br /> 600- FAX <br /> 782-6308 <br /> N2 007244 0419 Stnkkeer Ave, Site Morgan S racrment, CA 945834. 916) 92 960(0-FAX (9 6)921-0100 <br /> TOSCO ❑404 N target Lane•Walnut Creek, CA 94558• (925) 988-9600• FAX (925) 988-9673 <br /> Q 1455 McDowell Blvd North, Suite D• Petaluma, CA 94954• (707) 792-1865 - FAX(747) 792.0342 <br /> ❑ 1551 Industrial Road a San Carlos, CA 94070 • (650) 232-9600• FAX (650) 232-9612 <br /> Consultant Company CO3C6i- Tosco Engineer. ,p,9Ve <br /> Address Site# <br /> 613 <br /> City R'94ckv C a� State, C,4 . Zip Code t7S670 Site Address z vz <br /> Telephone gl�/- O4tw Fax d#' ?61' O' +3o City, State JfOC,7�-dl,\ C/ <br /> t <br /> Report Tous k Sampler y tl� Ai,q QC Data i�Level D (standard) p Level C Q Level 13 p Level A ' <br /> Turnaround W10 Work Days ❑ 5 Wotk Days ❑ 3 Work Days ] Drinking Water Analyses Requested ti <br /> Time ❑ 2 Work Days p 1 Work Day ❑ 2-8 Hours ❑ Waste Water <br /> 4� <br /> u Omer "OT <br /> Project Coding `a �� <br /> Client Date/Time Matrix #ofCont Sequoia's Sample Q,t, fid' Qti <br /> Sample 1 D Sampled Desc Cont Type Sample# 1 0 Comments <br /> 1 UW-1 If-z"JI nop ?f R <br /> 2 Z """'1 eo !r <br /> Tr <br /> 0 <br /> 4, N <br /> rr,lr�r^"(r 2 wr I'1 Z J V o <br /> 0 <br /> 6 } <br /> 7 <br /> 8 LU <br /> 9 oe 0 <br /> a <br /> 1Dyr <br /> Relinquished By Date -- Time �Z"Yo Received B Daft a Time U <br /> Relinquished SDID <br /> ate`s Time Received ate tt Time <br /> Relinquished By Date Time Received By Date- Time <br /> Were Samples Received lir Good Condrbon? ❑ Yes ❑ No Samples on Ice? ❑ Yes 7 No Method of Shipment, _ Page 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 stili needed? <br /> 2)Was the report issued within the requested turnaround time? Q Yes ©No If no,what was the turnaround time? <br /> Approve by Signature compaw <br /> Date. <br />