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�1i° 007224 O say Jars Drl organ Hill.CA 95037•(408) 776-900• FAX 0408) 782-63080 <br /> Q 618 StdkerAve,5ulte 8•Sacramento C,A S58341• • <br /> (916 92 8500 FAX (916) 921.0100 <br /> ❑404 ft V01get Lane•Walnut Creek, CA 54598, (M)9E38-8ND- FAX(925) 988-9673 <br /> TUSCOCA It t 1 ) ❑ 1465 McDowell Blvd. North,SUAO D-Petaluma, CA 94954• (707) 792-1865- FAX (707) 792.0342 <br /> p 15.51 Indushial Road- Sart Caries, CA 94070• 0)232.9644- FAX(650) 232-9812 <br /> consullAddressdress nt Company: Seco w _ Tosco Engineer. i�df n S�Op1 <br /> .3o/7 9f4$ar'O Rcl Siam oo gmtka Cw CAr. t' 'd7o Silo P 12 ar _ } <br /> city- State: Zip Cade- Srto Address: ?O <br /> TOIePhOns 1-0'Voo Fax#: 4f61--oteyo City,State. Ld+ kv <br /> R ori To: <br /> � fbj5f-y Sampler. QC rata; a t_evoi o(Starldard) v IweI C Q mel s ❑11-evel A x <br /> Mrnaround W 10 Wrnk Days p 5 Work OM ❑ a Werk Dap ❑ Dimling Water ArWyws Requested <br /> Time: ❑ 2 Work Days ❑ 1 Work Day ❑ 2-8 Hours U Waste Water <br /> 3 Other <br /> PrgW Coding �o <br /> plnt pdpeSap #Same ID Sampled Dem Co . T Sample Q�� Commerds <br /> 201 <br /> to <br /> w�' � .fa 20,! <br /> 7 ,D [. � � } <br /> S _ M <br /> 1Q <br /> _ ) <br /> L --L-L <br /> Rehnquished B <br /> y. a Onto. ��7 Tlr1i � Recelved - <br /> TErxte. " <br /> Relinquishede Tim&.=66 Recalved €Date Trrne.(L <br /> �aj <br /> Reim ulehed By. Date Time- Received By Date: Time: <br /> Were Samplas Received In Good Corr!Wn? ❑ Yes u No 9empres on ice? U Yes ❑ Wo MetTted of Shipmern Page of <br /> To Im oompTetad upon rmewl of Npod: <br /> Q Were the analyses requested an the M14 Of Cuslady reported? ❑Yea ❑NO It ou,what analyses are$611 needed? <br /> 2)Was the report land within the requested Runaround fimc7 ❑Yes E3 No If rre,wtrat wrrs ltlo tumemund Ute? - <br /> Approved hY' Sfgr>aNxe• Company: Date; <br />