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Billing Information Analysis / Container I Preservative :_nain ot Lustody Page ot <br />Patriot Environmental services, LLC <br />5025 Arnold Ave Suite 100 <br />Patriot Environmental services, Pres <br />LLC 5025 Arnold Ave Suite 100 Chk ce Analytical' <br />McClellan Park, CA 95652 McClellan Park, CA 95652 <br />Report to. <br />Amy Moore <br />Email To: <br />amy.moore@patriotenvironmentaLca <br />12065 Lebanon Rd <br />Mount Juliet, TN 3712. <br />Phone: 615-75/1-5858 <br />00 <br />. <br />1.... p,'::: <br />Project Description: <br />Diesel Spill French Camp <br />City/State <br />Collected: French Camp <br />Cease Circle! <br />iMT CT ET <br />Phone:800-767-5859 <br />Fax:515-758-5859 0 <br />L <br />Phone: 916-413 -4058 <br />C.lient Project # Lab Project 4 SDG # 1 2 1 6iFfb <br />11-20-00153 11-20-00153 C072 <br />P.O rt — Col ected by (print)! <br />Jamey Dobbs <br />Site/Facility ID ii <br />French Camp, CA a 11-20-00153 Acctnum: <br />Collected by (signature): <br />• -., , <br />Rush? (Lab MUST Be Notified) <br />Same Day *x. Foie Day <br />Quote # Template: <br />PrelOgin: <br />, t ..., -7) - <br />jrnmeeately X <br />Next Day 5 Day IPad Oniyi Date Results Needed , <br />Two Day 10 Day (Pad Only) INo CC <br />in <br />in <br />E.J <br />PM: <br />Pla: <br />`I Packed on Ice N Three Day <br />l g <br />u n <br />C ntrs u I. 0 0 5- Shipped Via: <br />Sample ID Comp/Grab Matrix• ' Depth Date Time [ cc co > 0 Pp-,.. S Sample N (lab on,y; <br />SOIL Bin#20244 I Grab <br />1/ 57A-7 i --1r- 1 8:30 ) I X X X X - of <br />i <br />SOIL in#2 ! Grab 8:32 ___ X X X X 0.2 <br /> i,--- <br />„.. _ <br />+ --,-. <br />Ground Sample#G1-L Center Grab 8:35 X X X X <br />i 03 <br />Ground Sample#G2-Left top Corn Grab 8:37 X X X X 6 Lf <br />Ground 5ample#G3-Righ top CornieGrab _ 8:39 IX X X X 09 <br />J <br />L <br />emarks: Sample Receipt Checkllet • Matrix: <br />SS - Soil AIR - Air F - Filter pH Temp ______ coc seal P.1.-esent/intact : NP .15.1: hl <br />GW - Groundwater B - Bioas.ay <br />WasteWater WW - <br />If near limits please run additional analytical. <br />Flow Other <br />coc signed/Accurat: L'Y _.... <br />. <br />14 <br />Bottles arrive intact <br />Correct bottles used, _ <br />DW - Drinking Water Samples returned via: <br />41 q/5-47, n;,03 Tracking Icir,5-46 <br />Suf ficient volume sent: <br />If Applicable OT - Other _UPS ZredEk Courier VOA Zero Headspace, Y N <br />ReN4uisheci by; (Signature) Date <br />471-2t -2020 <br />Time. <br />/Y;415 <br />Receives:0y (Signature) ./1 <br />0 2 <br />‘...e.--er/L • .4 .-..1.----------, <br />Trip Blank Received: Yes <-7)- <br />HCL / MeoH <br />TBR <br />--N Preservation Correct/Checked , <br />RAD Screen .c0.5 mR/hr: et —NI <br />4/ j.Y.C(Iti <br />i uisned by : (Signatu ) <br />g4te— <br />Date: <br />q— 2Z2- 2&"0 <br />Time: <br />filts. <br />Received by. (Signature),_..,) <br />Temp: Gc Bottles Received: <br /> el't .4i:1W Cjc47nac5: <br />If preservation required by Login: Date/Time <br />Relincwished by : (Signature) Date - Time: Received for lab by: (S• nature) <br />0,/k1ON.1 0 '‘<5.--- <br />Hold: I Condition: