ARCHIVED REPORTS_XR0012061 - Laserfiche WebLink

Home Browse Search

d u uuo omviz) UiiVC muiVai niii, %-,mH yJuw • +4UU) 1:b-Vt�UU • FAX (4Ub) td2-bJU8 1520 JU 819 Striker Ave , $ Sacramento, CA 95834 (916) 921-9600 FAX (916) 921-010 �0/I`` U 404 N Wiget Lanalnut Creek, CA 94598• (925) 988-9600 FAX (925) 988 9673 VCAL U 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-96}0-0 FAX (650) 232 9612 Consultant Company - Project Name Address WW1 U TOSCO Engineer (required) �J` K 1�, City - �-I I V1 State Zip Code q1 6 S ---- - -�- _-- - Telephone C�7i�_ t) � -�� FAX # 2,s-_ ss-1 _ c�� Site #, City, State 00-7 Report To � , - Sampler ` QC Data Level D (standard) U Level C U Level B U Level A - Turnaround U 14 Work Days Work Days U 3 Work Days U Drinking Water Analyses Requested Time U 2 Work Days U t Work Day U 2-8 Hours U Waste Water S� S CODE U Mise U Detect U Eval /K(Flemed ❑Demol U Closure U Other Client Date/Time Matrix # of Cont Sequoia's Sample I D Sampled Desc Cont Type Sample # 1Q�\ �� Q� J��``� ��`� Comments 13 01- rots WIrZ, I OA X '� I O t _ 0 3MP- 1- 111 10K X Ix _ U 0 5 p Z� — P�_�_i��_ --- - -8 -- - — c� Cr I _ in Relinquished By -- ` - -- -- - Date ��13� Time ! ReceivedI V - ` - 1� t {'? -- � � to � r�l Time � (? s Remi iquished By --- -- Date— - Time --- Received By- --- --- -- Date u TirnQ HLIM(luit,hed By Date Time Received By Date Tinio Wuiu Samples HeLeived in Good Condition? U Yes U No Samples on Ice? UYes U No Method of Shipment-_- _ Page of _ To be completed upon receipt of report 1)Were the analyses requested on the Chain of Custody reported? U Yes U No If no, what analyses are still needed? 2) Was the ieport issued within the requested turnaround time? U Yes U No If no, what was the turnaround times Approved by _ _ _ _ __ __ Signature _ _ _-- _- _ _- Company �___ w__-_-- Date __-