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N4008405 ❑685.larvie Drive-Morgan Hill, CA 95037- (408) 776-9600- FAX(448) 782-6308 <br /> 819 Strriker Ave ,Su ite S- Sacramento,CA 95834 - (916) 921-964fl ■ FAX(916)921-0140 <br /> AaftU(3d%Co( Al}4 N.Wrget Lane Walnut Creek,CA 94598 - (9261988-9600 - FAX (9M 988.9573 <br /> r .l al 1455 McDoviell Blvd North, Sur'te D- Pftturna,CA 94954, V07) 792.1065• FAX(707)792-0342 <br /> 1 P U 1551 tndustrlal Road - San Carlos,CA 94070- (650) 232-9600- FAX (650) 232.9612 <br /> consultant Gornpw!��,coj.- To= Engineer: <br /> I <br /> J4ddressht-teov< K 57V 'oo Slla#' !Z 0 3— _ <br /> Crty. Co VYf State. Fid ^ Tip Coda 4?j�,C7C? Site Address - figg 0 . ' <br /> TelaAt <br /> hone - d <br /> P i�/ Ivo Fax#.������#' _ City,State �n <br /> Report To Sampler 00juata. Level D Standard ❑ <br /> y"1 f f Q Level C ❑Leval B p Level A x <br /> Turnaround `10 Work Gays ❑ 5 Work Days ❑ 3 Work Days ❑ Ofinitmg Water Analyses Requested 0- <br /> Time: ❑ 2 Work Days Q 1 Work Day u 2 8 tours ❑ Waste Water � <br /> U Other •@ �y� <br /> Project Catling: <br /> Cherll 1 DatelTime Matrix .4 of Cant Sequola's <br /> Sample 1.0. �7 ryrySampled Be= Cant Type Sample 9 Commonls <br /> 4 Ik v- S 3 ' dl.wcr <br /> t_ <br /> hop <br /> S_ •". - %fid _ - -- c3 <br /> 10 ft - ua <br /> ctt <br /> Relinquished By, Data' Time, 33 Received to <br /> Time <br /> Retinqutshed By: _ Dato Time. - Recsiyed Bv: Date, rime <br /> Relinqumhed ncr. Date, Time, Racetved By. Dale-- TTma- <br /> Were Samples Received in iGOW Condlffon? U Yes U No Samples on lee? O Yes 0 No Method of Shipmeni Raga _of <br /> To be oomprated upon rec*illt of report �..� <br /> 1)Walre rho analy requested an the Cham of Custody reported? (3Yes 0 No it no,vlhal analyses are awl needed? <br /> 2)Was the report Issued within lira requWad fumam and timer U Yes ❑Na Ii no,t�har tivao th$lurparour�time? _ <br /> APr 6Y' stgnatuw Oampmr Data <br /> I <br />