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Lab Name: 5g-62 EQUIVA Services LLCCHAIN OF CUST013Y RECORD <br /> las�fI b <br /> Lab Addres... Company Contact(s)for Invoice: INCIDENT NUMBER DATE: <br /> PAGE: <br /> l <br /> TEL: FAX: <br /> Technical Services 9 8 9 9 5 8 7 4 1--OF t <br /> EQUIVA PROJECT CONSULTANT(Name and Company): SITE ADDRESS: <br /> Owen Ratch e-Cambria Environmental Technology, Inc. 341 East Main Street, Ripon,Ca. <br /> ADDRESS: CONSULTANT PROJECT NO:242-=4 <br /> 6262 Hollis Street EQuivncoNrncr: <br /> CITY: Karen Petr na .... <br /> Eme vIIIe,_Ca SAMPLER(S):(SIGNATURE) B USE ONLY <br /> TEL FAX: E.MA1L �,-�.4...,.10 <br /> 510 450-1984 510 450-8295 or atchye@camhria.env <br /> TURNAROUND TIME(BUSINESS DAYS) REQUESTED ANALYSIS <br /> 10 DAYS❑ 5 DAYS Fj 72 HR ® 48 HR ❑ 24 HR 0 X24 HR <br /> 0 LA-RWQCB REPORT FORMAT UST AGENCY: San Joaquin Co. m <br /> MTBE CONFIRMATION: HIGHEST HIGHEST per BORING ALL m C14 p �; <br /> ,"'0 co t ✓ [t a <br /> SPECIAL INSTRUCTIONS OR NOTES: TEMPERATURE ON RECEIPT(C) m z° W o c o <br /> Flaw T�,,��: b8b3boo € C L t <br /> v Cr <br /> Oxygenates to include Ethanol, TBA, EtBE, MtBE, TAME, DIPE m - x c �, o <br /> o S rn a o x M 41 Q w <br /> o O n v W ) C m <br /> E r r <br /> ° mc " wa " <br /> Detection Limits: TPHg=50ppb, BTEX=0.5ppb, MtBE-0.5ppb, DIPE=1.0ppb, No J <br /> a; ¢ o z o oa a u, <br /> EtBE=1.0 b TBA=ppb Ethanol=100ppb a UJ li m ;; `,: w <br /> I AD'' SAMPLING MAT- no.OF = r LU W V � m .�. 0. L a c. CL ii w t <br /> usi� Field Sample Identification <br /> RIX no. a a a °' " w " M W m <br /> DATE TIME I— E- W m W <L N 7 � 7 •• t— O <br /> ONLY <br /> 11 V iD 5`l` LJ H2O 4 x x x <br /> A l H2O 4 x x x <br /> I <br /> B 1 3 "" H2O 4 x x x <br /> E1 �- H2O 4 x x x <br /> O LE C S D S L IN A <br /> r' I <br /> Re�by (Slgr,18)WUre) D e: Time: <br /> elin uis d by:(Signature} I 1 , ,3Date: Time:is d y: i nature) 2, : J� <br /> Inquished b . ignature) Re 4 ( grr re) Dat : { Time: <br />