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Lab No: EQUIVA *vices LLC CHAIN OF CUSTO/DIOCORDI <br /> Lab Addri.. -. Company Contact(s)for Invoice: INCIDENT NUMBER DATE: <br /> PAGE: <br /> TEL: FAX: ( Technical Services 9 8 9 9 5 8 7 4 t OF 1 <br /> EQUIVA PROJECT CONSULTANT{Name and Company): SITE ADDRESS: <br /> Owen Ratch e-Cambria Environmental Technology, Inc. <br /> ADDRESS: II 341 East Main Street, Ripon, Ca. <br /> 6262 Hollis Street EQUIVACONTACT: CONSULTANT PROJECTNO.:2424M4 <br /> CITY` Karen Petryna <br /> Emer ail le,liCa SAMP sI NATupE) ;LAe usE oNLY <br /> TEL: FAX li E-MAIL <br /> 510 460-1984 (510)45011;8295 oratchyeC�cambria.env LIC D❑❑❑ <br /> TURNAROUND TIME(BUSINESS DAYS) REQUESTED ANALYSIS <br /> 10 DAYS ❑ 5 DAYS [] 72 HR ® 48HR ❑ 24 HH ❑ X24 HR <br /> it <br /> [� LA-RWQCB REPORT FORMAT UST AGENCY: San Joaquin Co. <br /> in <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALLtD N v <br /> 11 04 co O rn ^^n <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) N 0 o t= r v C110 <br /> m R z to O g C <br /> mzO <br /> E 0 �arn N <br /> Oxygenates to include Ethanol, TBA, EtBE, MTBE, TAME, DIPE m c o <br /> Oo 2 dO `M a <br /> e <br /> Detection Limits: TPHg=50ppb, BTEX=0.5ppb, MtBE=0.5ppb, !JIFF=1.Oppb, 0 r J W ° z a x a Co <br /> Et8E=1.0 b TBA=p b Ethano1=104 b 11 ° " d > > CL <br /> EL UJ u- V O �. C rn > > f— li O <br /> N 3 <br /> LAB SAMPLING MAT- NO. = _ m m a s a `o `6 0 0 <br /> usE <br /> Field Sample Identification RIX coNr. a (L f- F- O w- v v d s K. M to m v L <br /> ONLY DATE I TIME F H m to > LU U. (n > > > > F O <br /> 1120 4 x x x 41 <br /> A l I{ H2O 4 x x x <br /> B 1 H2O 4 x x x 3 <br /> E 1 I{ H2O 4 x x x <br /> I� <br /> ff <br /> ]qouNrAcrI <br /> �I • <br /> IIO LE R TEMI ER T RE ° <br /> �C <br /> Reliniql,41fi ( n to } if Received by:(Signature)' + Dal Time: <br /> qui ed by:(Signature) Received by:(Signature) Date: Time: <br /> Relinquished by:(Signature) �� Received by:(Signature) Date: Time: <br />