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C1 885 Jarvis Drive - Morgan Hill,CA 85037 - (408) 778-9600• FAX (408) 782-6306 <br /> Np 008492 819 Striker Ave. Suite 8•Sacramento, CA 95834 ■ (,916)921-9800• FAX (916) 921-0100 <br /> AWL dIfthi 0 404 N,Wiget Lane &Walnut Creek, CA 94596 a (925)988-8600•FAX(925) 988-9673 <br /> TOS <br /> (;(j Cj 1455 McDowell Blvd North,Suite D•Petaluma, CA 94954• (707) 792-1865*FAX (707) 792.0342 <br /> U 1551 Industnal Road• San Carlos, CA 94074* (650) 232-8600- FAX (650) 232-9612 <br /> /',t��S <br /> CQrisUIE<�nt Company l�car�, -,R,, eMe,.,�.,K �,�sc� tv !4IL <br /> Address d ] tarc � - Tosco Engineer., �jr� r4 <br /> ?aar>zastF 6_ <br /> A6 2 <br /> City. �LA.00 JO C a State CA- Zip Codo 9'L7n SiteAddfesS- 1&Y'?0 <br /> Telephone. (t?, Fax# C e?16) e6 i-(>`! 3- i City,Slate G ARrweP1 <br /> Report To uyfi Sampler. '-1�4�d�ros Po-e-Ct77 100113als pftevel D(Standard) U Leval C p Level S ❑Level A <br /> x <br /> Turnaround 13 10 Work Days i;,5 Work Days ❑ 3 Work Days ❑ Drinking Water Analyses Requested �. <br /> Timer ❑ 2 Work Days ❑ 1 Work Day ❑ 2-8 Hours D Waste Water <br /> - 011ier <br /> Project Coding - ,� ��'`��� o� <br /> Client DatelTime Matrix #of Cont Sequoias �Q'$ � � � ' <br /> Sample I o. Sampled Dose Cant Type Y Sample# Comments <br /> P n <br /> _ 1 (1P- f m (�a 3 P�2IRL _ �' �xY <br /> - _ A T+a^tis Cys <br /> 3- G0- b <br /> d L <br /> 6 <br /> 7 <br /> so q� <br /> Relinquished By -- Date 0XII-- Tma Received■ . fate. - Time. � d� <br /> Relinqurshod By Date•Z-af(vTime /J'010 ReceivedData Time.[' <br /> Relinquishad B Date: Time Received By. I 13nt9. I Time: <br /> Were Samples deceived rr?Good Condition? Yes ❑ No Samples on Ice? toYes ,Q leo Method o1 Shipmeoll—� t1��/ Page of <br /> To tie completed upon racetpi of reporh <br /> 11 Were the anafysas requested on the Chain of Custody reported? Q Yes G)No It no,what armlysw ara s9i ne edod 4 <br /> 21 Was the reporl Issued wlthrn the requested tufnarcuro time? ❑Yaa Q hlo N no,what wag the turnaround ttmw <br /> Appraved by slgrralure Company .. — pate -- -- - <br />