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Lab Name: K IFF EQUIVA Services LLC C H AIN OF CUSTODY RECORD <br /> if z o <br /> Lab Address: Company Contact(,)for Invoice: INCIDENT NUMBEIA DATE: <br /> � I(0 <br /> PAGE J F / <br /> I s <br /> a <br /> Teahrilca Servl�e � 8 9 9 5 $ 7 4 <br /> TEL:( <br /> FAX: �� <br /> EOUMAPROJECT CONSULTANT("m wdCemparrA SITE ADDRESS: <br /> Owen Ratch e-Cambria Environmental Technology,Inc ff <br /> AtwF�ESS: 341 East Main Street, Ripon, California�E <br /> 6262'Hoitls Street EOUIVACONTACT: CON SULTAtITPRO.IECT NO.: <br /> CITY' Karen Petryna 243-0324 <br /> Emeryville,Cal)tornia SAMPLgpm NATUAE] II LABusEONL`# <br /> TEL, FAX: E-lWL oratchveb n n <br /> 570 450-1984 510 450-8295 11,m6rla-env.com <br /> TURNAROUND TIME(BUSINESS DAYS) 1! <br /> ® 10 DAYS❑ 5[SAYS [] 72 HR C] 48 HR ❑ 24 HR E] a24 HR REQUESTED ANALYSIS <br /> E] LA-RWOCB REPORT FORMAT UST AGENCY: San Joaquin County <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL m a - v <br /> aNra °`° m t kn p O <br /> SPECIAL INSTRUCTIONS OR NOTES: <br /> TEMPERATURE ON RECEIPT(C) o <br /> W <br /> O +� <br /> E s m tr E Z <br /> I <br /> ,Ln- o W � N a <br /> Totalizing Water Meter Reading: .G O 'Z m m a o �, $ x -� "' aIr <br /> a, N Q _ v W d <br /> + w m C4 q, m ti N sa N <br /> LU Ui <br /> k {a N m s <br /> U U m <br /> Detection limits: TPht =50 b BTEX=0,5 b MTBE--0.5 6 a w � � ,� � o m a � �� � >>e > � Ii o u <br /> LAB. SAMPUHG MAT- ►w-°F T x x W U to a m a. [ k !� 0. " a a. <n t <br /> use Field Sample Identification RIX Orr. a � � 0 � n a 0 �Id ru W <br /> ONLY DATE TIME r m m > W F C N > > > > r <br /> P CV W 3 VoA X X See note <br /> A-1 W 3 VOA X X �— <br /> "n B-1 W 3 VoA X X <br /> E•1 W 3 VOA X X G`{ <br /> Relinq y Received by:(Signature) Date: Time: <br /> se' Date: <br /> (shed .(Signature) Received by.(Signature) �I Date: Tlme: <br /> RelinguLshedhy.(Siginature) eived (Signal Time: Y <br />