Laserfiche WebLink
Lab Nam94:i? v 01 A EQUIVA Se 'ces LLC CHAIN OF [:US I UUY tttl;UMU <br /> Lab Addre:.. _. Company Contact(s)for Invoke: mow INCIDENT NUMBER DATE: <br /> -Z ' <br /> PAGE: <br /> TEL: 9 8 9 FAX: Technical Services 9 5 8 7 4 t OF t <br /> EOUIVA PROJECT CONSULTAN r(Name and Cmnpanyy SITE ADDRESS: <br /> Owen Rat:ch e-Cambria Environmental Technology, Inc. <br /> ADflRsss 341 East Main Street, Ripon, Ca. <br /> 6262 Hollis Street EQUIVA CONTACT. CONSULTANT PROJECT NO.242-0324 <br /> CITY: Karen Petr na <br /> Emeryville, Ca SAMPLE (SIGNATURE) A LAB USE ONLY <br /> TEL: FAX: E-MAIL <br /> 510 450-1984 (510)450-8295 oratchye@cambria.env <br /> TURNAROUND TIME(BUSINESS DAYS) <br /> 10 DAYS E] 5 DAYS ❑ 72 HR ® 48 HR �] 24 HR = X24 HR REQUESTED ANALYSIS <br /> LA-RWOCB REPORT FORMAT UST AGENCY: San,Joaquin Co. � <br /> ro o r <br /> MT6E CONFIRMATION: HIGHEST HIGHEST per BORING ALL 7a <br /> Ln <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) `n N 'y o o <br /> N <br /> N z w O c O <br /> E R c m m ~ # w D z <br /> Lo C <br /> 9V to g v tr° Q I tv <br /> Oxygenates to inCILide Ethanol, TBA, EtBE, MtBE, TAME, DIPS w ° a Ko x M a m a s <br /> �, o o o ° T w N 0M <br /> + + m m cv w m tL ca w i1 p <br /> T3 Ca EDetection Limits: TPHg=50ppb, BTEX=0.5ppb, MtBE=0.5ppb, DIPE=1.Oppb, �, o 0 N � ° ° z o o s x o J <br /> EtBE=1.0 b TBA:= b Ethano1=100 b �? 0 a -- _ 0 r > > ,- W o <br /> LAB SAMPLINGMAT- No.nr X rn c m z ° 4 o P 4 o m <br /> 2 Z w W U m R n. 1. CL M 0. N t <br /> u§e; f=ield Sample identification ,- o I— v (98 M M M <br /> ONLY DATE TIME Rix CONT. a >a � ;5; Jr M to > ul F 2 LL to > > > > N Q <br /> I1 z•z•ti 12:CC H20 4 x x X <br /> A l H2O 4 x x x <br /> B 1 H2O 4 x x x <br /> E 1 H2O 4 x x x r ,J <br /> - - - <br /> t { <br /> URI <br /> I <br /> Reli is by:( —----- . . . . LLF <br /> Signature) �/ Received by:(Signal Date: Time, C L2 <br /> 14 v <br /> e!in (shed by.(Signature) Received by: ignature) Date Time <br /> I <br /> Relinquished by:(Signature) Received by:(Signature) Date Time <br />