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Lab Name: EQUIVA Services LLC CHAIN OF CUSTODY HECORD <br /> Lab Address: Company Contact(s)for Invoice: INCIDENT:NUMBER - ' DATE: Z 7 <br /> �.:. <br /> PAGE: <br /> TEL: FAX: Technical Services g $ 9 9 51118 7 4 OF <br /> EQUIVA PROJECT CONSULTANT{Name and Company): SITE ADDRESS: <br /> Owen Ratche-Cambria Environmental Technology, Inc <br /> ADDRESS: 341 East Main Street, Ripon, California <br /> 6262 Hollis Street EQUIVA CONTACT: ii CONSULTANT PROJECT NO.: <br /> CITY: Karen Petryna �f 243-0324 <br /> Emeryville, California SAMP TUFfl I{ ,GAa usE oNLr <br /> TEL: FAX: EMAIL oratchved <br /> 510 45Q-1984 7 J510)450-8295 cambric-env.com !II �� ❑a❑ >: <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> ® 10 DAYS❑ 5 DAYS 72 HR Q48 HR E] 24 HR Q <24 HR REQDESTEDI'1ANALYSIS <br /> i <br /> El LA-RWQCB REPORT FORMAT UST AGENCY: San Joaquin County m <br /> m o <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per SORING ALL04 Co 0 <br /> ^ <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) o 0 <br /> o t r o <br /> E :•' Z w O g c a <br /> m I R Z <br /> Totalizing Water Meter Reading: K c N o -- Vmm <br /> 77 O r� <br /> xox O w O <br /> f + LE i Ow w 0 is <br /> a a <br /> a� z p oC <br /> Detection limits: TPH -50 ° xN' U. <br /> Lu u d <br /> J <br /> ih > <br /> .LAB-,: SAMPLING MAT- ho,of x x N w C m x r c ? o `o `o o ` <br /> Field Sample Identification z x w w 0 m 0CL <br /> - <br /> p Rix cora, a F- F- O0. m m a m <br /> ON1 Y- DATE TIME F F- M m > W H LL to > > > > H O <br /> W 3 VoA X x i� See note <br /> Y' A W 3 VoA X X <br /> W 3 VoA X X „ <br /> E-1 W 3 VoA x x <br /> Oi :p. USO Y S _A S I TI <br /> N T T T <br /> Re lin is Ig ture)e--- Re Iv by:(Signature) Date:o Time: <br /> EN`'ERATURE � S" I <br /> Rei qui d by:(Signature) ceived by:(Signature) Da Time: <br /> li <br /> Relinquished by:(Signature) r Received by:(Signature) �! Date: Time- u <br />