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❑404 N Wi 'J"VU - + +k)+Yd4+ !lilt, UA `&&)Ude - (41LIO) I Ib-ybVU - SAX (4U8) /82-b3U8 <br /> + - 000715 U 819 Striker Suite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 9 00 <br /> g e Walnut Creek, CA 94598- (925) 988-9600 FAX (925) 988-9 <br /> Tosco U 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road - San Carlos, CA 94070- (650) 232-9600 FAX (650) 232-9612 <br /> Consultant Company Project Name <br /> Address4; 7 G �- � ,OU�7� �� TOSCO Engineer(required) <br /> G r1 <br /> Crt State Zip Code 99,5-(08 <br /> 67 <br /> Telephone G}2-�- S S S FAX # Z . �� <br /> ite #, City, Slate �� <br /> Report To ampler r �G/S QC Data ❑ Level D (sr ndard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround 0 Work Days ❑5 Work Days U 3 Work Days ❑Drinking Water Analyses Requested <br /> Time 2 Work Days ❑ 1 Work Day ❑2-8 Hours <br /> U Waste Water <br /> CODE: ❑M+sc ❑ Detect oval ❑Remed ❑ Demol ❑Closure Other ��s\� �� AQP \QP <br /> Client Date/Time Matrix 1 9 of Cont Sequoia's QPM �Qa �� QPoff` <br /> Sample I D Sampled Desc Cont Type Sample # 1Q�� � `` ` �o\a���, � Comments <br /> 2 r ea <br /> blLSAz:---Q 4A --C-73 <br /> 4 <br /> 5 Q � <br /> 6 + <br /> 7. <br /> 8 <br /> 9 + <br /> 10 ` <br /> c <br /> c <br /> 092/pov <br /> Relinquished By Date Time Received By Date ZO Time a <br /> fAA <br /> Relinquished By �p Date ; 42 Time/-r03 Received By Date Time <br /> Relinquished By Date Time Received By x ���� D�t � 0C' Time <br /> Were Samples Received in Good Condition? U Yes ❑No Samples on Ice? U Yes U No Method of Shipment Page_of <br /> To be completed upon receipt of report <br /> 1)Were the analyses requested on the Chain of Custody reported Yes FJ No It no, what analyses are still needed <br /> Was the re ort issued within the requested turnaround time? 1- Ye N0 If no, what was the turnaround time <br /> loved <br /> ved b ��� <br /> Y _ 4+rtnqti+rn r � — h i�•� - � <br />