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" 010164 ❑BS5.laMs Ortva•Morgan l-iill. CA+95037* (4 06)776-01530• FAX (4os)782-6WB <br /> Big Striker Ave., Sulto 8-SnoramentG,CA 95834 -(916) 921-9600• FAX(91 B)921-0100 <br /> U 464 N.Wiget Lana•Walnut Greek,CA 94598 ■(925)986-9600 o FAX(925) 988-9673 <br /> T%f J%. %9 C 0 ❑1455 McDowell Blvd.North,Suite D■Petaluma, CA 94954+(707) 792-1865*FAX (707)792.4342 <br /> ❑1551 In€iustrlal 19ond•San Cariosl CA 94070■(650)232-S60Q•FAX(050)232`9612 <br /> Consultarl Company., 4f JSL- R Ya Ai . Arc, Tosca Enuieeer: flO WV----- ` <br /> AddfesS; } tf I V .�ilt#3 -� <br /> Gq: PAa �Of State: }� Zip Dade: 5 Sito Addross: 165,90 [� T r k <br /> Telephone* Max#: p - drrtaii: City,Slaty: 1125e r <br /> Wort To: G sgrnpler: r CSC Data: - Leval 0(Standard) (�Level C ❑Level 13 Ll Leve]A <br /> Turnaround 10 Werk Days ❑S Work Gays ❑3 Work Days ❑Drinking Water - Analyses Flequested � 4 <br /> 7ime� 2 Work Days ❑i Work Day E]2-BH <br /> ours C Waste Water i r�,� <br /> ❑ fter p 4f <br /> Project Codlp>g' a"V 0 <br /> Muni Date/Time Matrix g of Cont. Sequolks <br /> Samplo LD. Sampled DGm Coni, Type Sam it �� Comments <br /> 4 a <br /> 7. <br /> pp , <br /> 1 <br /> f1alina00W By: Data: t h Time: Received By: pain: _ 7lme1'SZ <br /> Rell'quTslled Dy: _ Date: Time, _ Received B Dat � ` <br /> D �rrle:4L'�, <br /> hell ulsned D : ,;. <br /> . � beta' Time: FC�eived ave`--.. _ _ Date: Time: <br /> -were Sompins#iacrriyod in Good Condition; ❑Yes Q No Samples on in? L]Yea ❑No Method of Shlpment_ Page <br /> 7o IxO comploied upon revgfpt of report: - <br /> 1)Wore the analyses iequasted on the Chain of Custody imported? ❑Yes C)Ho If no,what analyses are s(111 nwe.d? <br /> 2)Was the report Issued wilhln tha nequeved lumaround time? Ll Yes ❑No If no,what was life turnaround lime? <br /> by, Signature:— Gompany: pate: <br /> :k <br /> �-�-.,mss,:.-•.,.. - -. .....................:...�.�.�_.� 'a <br />