Laserfiche WebLink
ia 885 Jarvis Driveorgan Hill, CA 95037 , (408) 776.9800• FAX (408) 782.6308 . - <br /> N° 008459 1%Si 9 Striker Ava, Suite 8•Sacramento, CA 95834- (916)821-1000• FAX (916) 921-0100 <br /> Cl 404 N Wigsi Lana -Walnut Creek, CA 94598• (926)988-9600•FAX(1126) 988.9673 <br /> 0 El 1465 McDowell Blvd Hadh,Suite D• Petaluma, CA 94954• (707) 782.1865•FAX(707) 742.0342 <br /> U 1551 Industrial Road•San Carlos. CA 940701 (650)232.9600• FAX(650) 232-9612 <br /> ConsWlant Company 5r-f Do . UAL-b %JAt utr A- Salts. Tosco Englneor Lib gA,.vVW <br /> Address. 3o , aql tl.D_� Sa` - )ate _- - Site# 17,(>!; j�#�► `T'flG�'7 h 4b SS 2 N4 troy +9f 2E SG <br /> CitT4ZAAkMa et.&OWA State- C& Zip Code. gSg41,71 r SiteAddress. t 6 tpt) CA0AGgpr ' riL <br /> Telephone, Cg1d $b!- oyoo Fax#: `Tia oy.4 0 City,State j,�wqVi } e <br /> r <br /> Report To:,gusp�.r ��,��� Sampler 11,o~s 0 Dela; Level D(Standard) U Level C ❑Level B 1D Level A ' <br /> C <br /> Turnaround p 10 Waik Days 5 Worcs Days p 3 Work Days ❑ Drinking Water Analyses Requested a <br /> Time: V 2 Wolk Days p f Work Day p 2.8 Hours ❑ aste Waley � <br /> Other <br /> Project Coding <br /> Client Date{Rme Matrix N of Dont Sequoia,s � �� "� ti 0 <br /> Sampte I D Sampled f?esc. Con]. Type Sample Cornrnonts <br /> 1 - b�sJo loz (iZO c + a yrs� ��c <br /> 2 <br /> c �^ tz70 ��, � L a <br /> kprCr <br /> 1 cs. �.Yy C <br /> NV <br /> 7. <br /> V as <br /> t6 0 <br /> . 10 C <br /> Relin utshed R . Date' «� <br /> q Y T'irrle ti� Received 8 Data•�.G� Time• ��� <br /> Relinquished B Date)(-G-f& Time Receyed s cia o 'I'ime:41 <br /> - — <br /> Relinquished BIDate Time Received ' Date. Time. <br /> Were Samplas Received In Good Conddlon? Yes q No Samples on Ice? Li No Ma1W of Shllrmeni � Page <br /> ,_of <br /> To he complatod upon receiFl of report <br /> 1)Weis the analyses raguasted art the Cham of Custody ropoded? Q Yes Q Xb If no.what analyses are still needed? <br /> 2)Was the report Issuad wdhm the requosled tummeurrd tune? D Yes ❑No I no,whol was the lu maraund Irma? <br /> Appmvod try:_ Signature _ _ Company. Date. <br />