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N° 007300 �85,Jarvis Drl largen Hili,CA 95037- (406) 776960D• FAX (408) 782-6308 <br /> 7 9 Striper AvdWde 8 -Sacramento, CA 95834- (916) 9219800- FAX (916)921- 0 <br /> ❑404 N Wtget Lane-Walnut Creek, CA 94599- (925) 988-9600 - FAX (925) 988.9673 <br /> TOSCO C11455 McDowell Blvd North,Suite D - Petaluma, CA 94954- (707)792-1665- FAX (707) 792-0342 <br /> (a1551 Industrial Road • San Carlos, CA 94070- (650)232-9600 - FAX (650) 232-9612 <br /> )Consultant Company feCo v Tosco Engineer <br /> a <br /> Address• 3o 17 GC r6l. site 11 fl <br /> CRY 01,4 State. CA�- Zip Code ?S-4 .>V Site Address r9 03 C ocarr t C L vb 14-ne .- <br /> Telephone, ,I — 0 L[c,o Fax# VGl,a 1-j )p City.State ,f-AX tDt, Cm <br /> U <br /> ReportTo. , , Sampler J'y1 QC Data Levi! D (Standarc!) ❑ Level C ❑Level B p Level A ` <br /> Y <br /> Ttirnaround go 10 Work Days ❑ 5 Work Days Cl 3 Work [lays ❑ Drinking Water Analyses Requested ti <br /> Time: ❑ 2 Work Days ❑ 1 Worts Day ❑ 2-8 Hours p Waste water <br /> ❑ Other <br /> Protect Coding <br /> Client Datelrone Matrix #of Cont. Sequoia's �Q� � Dov <br /> Sample 1.1) Sampled Des Cant Type Sample# 1 0� <br /> Azo 3 Yo4 <br /> 3 0 <br /> 4 Cr <br /> fn <br /> 5 ` <br /> 6 <br /> U 7 <br /> CE <br /> m <br /> 0 9 <br /> W10 <br /> IL Relinquished By Date! -Time t{ "` Received B f Date 13pagj Trmt <br /> m Relinquish ` Dat Time ff N Received B <br /> Date 6( Time U2 <br /> Relinquished By Date Time I Received By Date Time <br /> mWere Samples Received in Good CondlhorV!''`es ❑ Ido Samples on lcej Yes ❑ No Method of Shipment QA.A 641tr Page�of { <br /> U To be oompMed upon reoeipl of report <br /> A 1)Were the analyses requested on the Chain of Custody reported? [❑Yes ❑No It no,Shat analyses ails still nEeded7 <br /> 2)Ms the report issued wahn the requested tumsround tim97 ❑Yes Q No It no,vihat was the tumaround UM87 <br /> Appmved by ftnaiure <br /> any Date <br />