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Lab Name: ie EQUIVA Services LLC 0:2a03 CHAIN OF CUSTODY RECORD <br /> II <br /> Leib Address: <br /> Company Contacts)for Invoice: INCIDENT NUMBER . DATE- <br /> PACE: f <br /> TEL: FAX: tochntW Services & 9 $ J ¢ { OF <br /> EOLWA PROJECT CONSULTANT(Nam end Ccrrpany): SITE ADDRESS: <br /> Owen Ratch e-Cambela Environmental Technology,Inc <br /> ADDRESS: 341 East Main Street, Ripon,California <br /> 6262 Hollis Street EOUIVACONTACT: CONSULTANT PRCMECTNO.: <br /> Cm: Karen Petr na �{ 1243-0324 <br /> Emeryville,California SAMPLER(S): SIGNATURE) +fC1L LAfiIIs + lr i tt x <br /> TEL: FAX; E•11AIL orstchveO i <br /> 510 450-1984 510 450-8295 cambric-env.com ll <br /> TURNAROUND TIME(BUSINESS DAYS) 9l <br /> ® 10 DAYS C] 5 DAYS ❑ 72 HR [:] 48 HR [] 24 HR E:] <24 HR REQUESTED ANALYSIS <br /> ED LA-RWCCB REPORT FORMAT . UST AGENCY: San Joaquin County ,. m <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL a N r <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) ° m o `o rn <br /> a CD 4) <br /> Z to 0g G a <br /> E rEn to G a rn -0 2 <br /> Totalizing Water Meter Reading: 00 Er m a it o a . _ a <br /> W m + GI �_ N «, LL to a 2 Q <br /> „QC �zw y.. ° rL <br /> Detection limits: TPN =50 b :8TEX=0.5 b MTBE=0.5 b ui, ° mLAa' 'SAMPLNG w <br /> ts:. flca#io0 4 a a a ,aField Sample ldertM•DATE TIME 7 > a >ONLY > <br /> .. <br /> Q� <br /> -- 3_u See nate <br /> E-9 3P of /O;Op W 3 VOA XX J <br /> s <br /> t <br /> Re qu :(Signature} �,�s Received by:(Signature) Date: Time: <br /> dby.(Signature) Received by;(Signature) _-- �I Dale:�r Time: <br /> Retinqutshed by.(Signature) Rpcgived by:(Signature) iI Date: Time: <br /> - <br /> 4A— <br /> ys- <br /> i <br />