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' y u 000.iarvis wrive • morgan Milt, UA95037• (408) 776-9600• FAX (408) 782-6308 N- 40 7 2 15 x819 Striker Ave 8 Sacramento, CA 95834 • (916) 921-9600- FAX (916) 921-{� TSS 404 N. Wiget La alnut Creek, CA 94598 • (925) 988-9600 • FAX (925) 988-9673 . � COC� p 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 • (707) 792-1865 • FAX (707) 792-0342 EI1551 Industrial Road • San Carlos, CA 94070 • (650) 232-9600 • FAX (650) 232-9612 lConsultant Company sP o� Tosco Engineer c �M EZb Add,ess ! l�U Site# ' City �a C v }f1 - Stater Zip Code �j�L"�U Site Address 3?v Z 'v E/{,�,,•,eY L yR Telephone �� Fax# )F� >4 �, City, State sit .�,. ; t Report To ,,5 r, �G Sampler � DC Data Level D (Standard) ❑ Level C ❑ Level B p Level A U Y Turnaround 10 Work Das S l y ❑ 5 Work Days p 3 Work Days ❑ Drinking Water Analyses Requested a Time ❑ 2 Work Days ❑ 1 Work Bay ❑ 2-8 Hours ❑ Waste Water �_Y �•- ❑ Other �0�' o,�h1 lb �o Project Coding — Client Date/Time Matrix #of Cont Sequoia's Sample I D Sampled Desc Cont Type Sample # �Q �Q� O � o Comments 3 �* � I� � ' j r J�� !R5• a i� r } V(} 4 C U f r7 rl / . r r: {ca v A k 07 5 , -3, 7 > n 3 7 a 9 7 10 co Relinquished By ' :ti. Date t, j,1 Time Received Bv Date 3' � Time } 1 Relinquished By. I" t - Date i} ,,� Time �OZ p` Received Bf�LWI^ Date 13r� TAw— ime Relinquished By I Date I Time Received By Date Time Were Samples Received in Good Conddion9 ❑ Yes ❑ No Samples on Ice? ❑ Yes ❑ No Method of Shipment Page of To be completed upon receipt of report - ' 1 y Were the analyses requested on the Chain of Custody reported? ❑Yes p No If no,what analyses are still needed? - 2 Was the report issued within the requested turnaround timet ' po eq ❑Yes ❑No If no,what was the turnaround time? Approved by Signature Company Date ,