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Lab Nam 5; E'Qtl0EQUIVA Selfices LLC trnAtly ur toua f uu T n&%own <br /> Lab Address: Company Contact(s)for Invoice: INCIDENTNUMBER DATE: <br /> 3 . z� I <br /> PAGE: <br /> TEL: FAX: Ceclttte8l L.L.. 9 8 9l I <br /> 9 5 8 7 4 of <br /> ECITY: <br /> OJECT CONSULTANT(Name and Gwfanyy SITE ADDRESS: <br /> Owen Retch e-Cambria Environmental Technolo Inc 341 East Main Street, Ri on,California6262 Hollis Street EQUIVA CONTACT: CONSULTANT PROJECT NQ.: <br /> Karen Pet na 243-0324 <br /> Emeryville,California SAMPL G UREI I-AB USE ONLY <br /> IL <br /> TEL FAX: EMAIL oratchva� ❑ 0��'��❑ <br /> 510 450.1984 510 450-8295 cambric-env.com <br /> TURNAROUND TIME(BUSINESS DAYS) REQUESTED ANALYSIS <br /> [D 10 DAYS❑ 5 DAYS F] 72 HR E] 48 HR [] 24 HR Q <24 HR <br /> 0 LA-RWOCB REPORT FORMAT UST AGENCY: Sari Joaquin County <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL $ N O <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) m d z w o _ <br /> E � � � <br /> F t, -e PI z <br /> @ QI N O r v m <br /> Totalizing Water Meter Reading: /$Q$500 m � N � o o ; a is J � � y _o <br /> LU <br /> a a m O+ + m T E 19 N m m a m $ d �p <br /> rom m V- LO <br /> a ao C) U a d a <br /> Ch I <br /> Detection limits: TPti =50 b BTEX=0.5 b MTBE=0.5 b a w ' ° o `✓ a z > w <br /> U <br /> LAB! SAMPLING X K qLU C x 0 m o 0 0 o m <br /> MAT- rro.of = z w Iu C} m L a a a a a ua t <br /> use Field Sample Identification DATE TIME <br /> RIX carr. h 1- O F a cc a a m W m a <br /> lIVLY m m > w t- u N > > > >- <br /> See note <br /> VV <br /> FJLIIT <br /> W 3 VoA <br /> FRellnquls a Received by: i tura) D e: Time:N C y:(Mgnature) Received y1 Signature) D e: Time. <br /> Relinquished by:(Signature) Receive by:(Signature) te: Time: <br />