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r� UD1A ANALYTICAL V b80 Chess urive•Keawoocl ulty, UA S4utij•(41 5) UU4-"UU rAA(4 i,-,) `40j. • <br /> Sacramento, CA 95634• (916) 921-9600 FAX (91 y-0100 <br /> w ❑ 819 StrikerWe., Suite 8 1 <br /> 1w CHAIN OF CUSTODY ❑ 1900 Bates Ave., Suite LM • Concord, CA 94520 • (510) 686-9600 FAX (510) 686-9689 <br /> Mobil Oil Consulting Firm: �p - v Station No./Site Address: D`{ c <br /> Address: L r e V< Project Contact: A ; <br /> Ci!y: r! w.r+Q State: zip: Mobil_Oil Engineer 5 r! p <br /> Tel: ce-xs Fax.: 5la 4:9 o Sampler(s) (si nature): <br /> O N <br /> CODING <br /> C3 <br /> ❑ 3 (check one) <br /> Ln <br /> ri g <br /> o o � ¢ El of = Code 1 ❑ Emergency <br /> CD_ _ m w w El EL <br /> Response <br /> Ci a o ` z CO a N m m a �' w Code 2 ❑ Site <br /> E 5 Cg u1 a. o Q❑ m s1 � v in Cl 2r U �, a, <br /> CL x o 2 LU C3 w IN cNn N O h vyi ASS8S51Ilent 1 <br /> E m �' iu E a a s •� s a a a m r <br /> U) O �- a. Z F M m L Fa- (7 O ia- W uj w F- F J -j W OL di m <br /> fL 0. Code 3 ❑ Remediation <br /> uf1-t �j <br /> (I-(.-Ib r z y� NLA( L 3 vV (Pian Devipmt.) <br /> z 0,0% • 7' Code 4 ❑ Active Remed. <br /> r 2 (InstallJSlan-up) <br /> 13zs Code 5 ❑ Active Remed. <br /> (o a M) <br /> Code 6 Passive Remed/ <br /> 1yt0 L X ,�, . Monitoring <br /> Al Code 7 ❑ Closure <br /> 3 Code 8 ❑ Construction <br /> �.( Code 9 ❑ Litigation/Claims <br /> 4Vl/� � Fines <br /> If <br /> Relinq ' ed b; : i e: Reiinquishe by: Dalelr e: Turnaround Time: (check one): <br /> Normal Same day <br /> elinquished b : DalaMme: t day 2 day <br /> 5 day - <br /> Relinquished by: te/Time: Relinqui5 d In L L Date/Time: <br /> f Sample lrtlegrity: <br /> Re rks Intact On Ice <br />